Become a part of our caring community
The
Principal,
Care Integration Clinical Strategy and Program Development
is a critical leadership role responsible for the success of the
portfolio of
Care Integration
programs within
the Complex Care vertical of centralized programming to serve
CenterWell
Senior Primary Care’s (and Conviva Senior Primary Care’s) highest need and complexity patients
with care and case management services
. The
Principal
is response for the strategic direction, execution and ongoing management of
the platforms, products, and analytics
–
along with their associated workflows and operations
– underpinning our
High Risk Patient Management (HRPM) program
and
Transitions of Care Management (TCM)
and condition management
program
, both of which are
designed to improve quality and reduce costs for high-risk senior populations in full-risk Medicare arrangements.
The
Principal
will
be the key cross-functional owner of the
strategic planning, development,
and effectiveness of these tools.
Working in a matrixed environment, the
Principal is a director
-
level
, individual contributor role, with responsibility for platform, product and analytics tooling,
collaborating with
IT, Product (Athena,
SalesForce
), Analytics (
DataHub
), and Medical Economics teams
to
deliver offerings supporting the 500+ FTE care teams
driving
program
delivery
and
patient
outcomes. The ideal candidate will possess a strong
strategic
, analytics and platform tool
background
(particularly with a lens toward
VBC provider
delivery offerings), a deep understanding of value-based care principles, and
a proven ability to understand an overall vision, while engaging with detail-oriented specifications and considerations,
and motivate cross-functional teams.
This leader will provide
ongoing program support through active communication
and consultation with
the operational,
strategic
and clinical leaders driving program delivery.
Portfolio scope
High Risk Patient Management Program
–
Care and case management interdisciplinary offering for top 5% highest need patients
Transitions of Care Management
,
Longitudinal
Care Management,
and
Condition Management
Program – Post acute care management
interdisciplinary
offering
for patients following an acute IP/
Obs
utilization
even
t
.
Ongoing Care Management for
high complexity patients to address
clinical,
behavioral,
and social needs.
Condition
management supporting patients with unmanaged diabetes and hypertension.
New programming as advance
Care Integration strategic plan
Tooling scope
Care team platforms – Athena,
SalesForce
Healthcloud
, owned by the IT and Product teams
AI tooling – Various tools, currently built into Athena and
SalesForce
HealthCloud
, owned by the AI IT team
Analytics – Power BI dashboarding and reporting, owned by the
DataHub
team
Predictive
analytics
– Readmission prediction
scores
,
owned by Data Science team
New
tooling
as
needed to
advance Care Integration strategic plan
Core
Responsibilities:
D
evelop,
socialize, and
implement
Care Integration Team tooling
strategy in
partnership and collaboration with
operational leaders, clinical leaders, IT, population health, and analytics.
Product-related activities (SF, Athena, AI-tools):
Support development of product strategy
Develop and prioritize the intake
Design the product intake feature specifications
Test the features & provide feedback to product team
Collect feedback from frontline staff & Managers for product enhancements
Train Education team & frontline staff on product features and hold regular office hours (in coordination with Education team)
Coordinate with Change Committee
Manage products:
SalesForce
, Athena, Genesys, AI (e.g., Ambient AI)
Manage HRP score logic & coordinate with clinical and data science
Coordinate with shared services for improvement / new initiatives e.g., Genesys, Call Center (e.g., call center scheduling patients in 7D), Center Ops (e.g., HIMS,
Trueshore
)
Manage the IT Budget (in coordination with Complex Care VP)
Design & manage implementation of metric / dashboard enhancements
Prioritize analytics initiatives
Develop metric definitions
Design dashboard UI
Co-develop sprint-plans with analytics partners
Coordinate development of metrics with analytics team
Conduct metric QA
Act as point of contact for analytics and product-related questions
Use your skills to make an impact
Required Qualifications:
Bachelor’s degree
5+
years progressively responsible professional experience in health-related
product, IT, analytics
,
preferably in value-based care, particularly managed
care
or full risk models
5
+
years of
cross-functional
translation tooling experience (e.g., sitting between clinical leadership team and hands-on-keys product development team)
Experience in developing performance dashboards
–
specifically
defining
metric
definitions
,
collaborating with
analytics
and
tech
teams to
implement
dashboar
d
s
,
and
performing
metric
quality checks
-
and
defining
product
feature
specifications
The ability to clearly explain complex ideas, analytic
insights
and technologies to non-technical audiences
Experience in a large, highly matrixed company, with proven ability to influence leaders and key stakeholders in such an environment, within and outside of direct reporting lines
Excellent qualitative and quantitative analytic skills, with the ability to ask the right questions to
identify
the root causes of problems to be addressed
Excellent collaboration capabilities and high EQ; integrator, can connect the dots and understand how to
optimize
system-level processes
Excellent oral and written communications skills, including the polish, poise, and executive
and authentic
presence that will ensure effective interaction with
leadership and front line / manager users of tools
Preferred Qualifications
Master of Business Administration with three
years experience
post
Master’s
level training
Data, product,
analytics
and impact translator skills to effectively engage cross-functionally in assessing opportunity and feasibility of strategic initiatives
Experience working with design teams to
optimize
user experience for platforms
and tools
Characteristics of the qualified candidate:
A highly credible leader with deep understanding and empathy for the
care team and
patient pain points in day-to-day
value-based operations
Excellence communication skills, including follow-through communication, executive presentations, and the ability to negotiate with horizontal and upward/downward vertical networks
Comfortable managing influence in the context of multiple operations, development, and deployment initiatives in a matrixed environment
Additional Information
Remote role
,
20% travel to various
CenterWell
& Conviva markets
,
on-sites
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$138,900 - $191,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 06-14-2026
About us
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.
About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.