Director Clinical Quality Strategy

Profile

Description

Humana has articulated a long-term vision to transform from a health insurance company to a health services company distinguished by the prioritization of the health outcomes and care experiences of our members. By focusing on the health measures that matter most to consumers, our clinical quality and brand strategy can help catalyze this transformation. This role will be instrumental in developing and executing on this vision in partnership with leaders and teams across Humana.

Responsibilities

Responsibilities:


Lead the enterprise transformation to a consumer-centric quality model, tell the story why it matters and how quality can create competitive advantage, and inspire the adoption of recommended quality measures. Develop change management strategy and plan to support the transformation.
Drive identification and scaling of consumer-centric quality measures across the enterprise. Create and implement strategic plan, drive goals and objectives, and improve performance. Work with operational owners to translate strategic recommendations to execution plans for implementation. Collaborate with partners to determine feasibility of recommendations.
Utilize data to drive clinical strategy and quality improvement. Monitor and evaluate the effectiveness of the clinical quality strategy and recommend adjustments when needed to drive outcomes.
Serve as a subject matter expert and liaison between Clinical Strategy & Quality and enterprise around quality. Influence senior decision-makers at Humana on opportunities to improve clinical quality that drives health outcomes, lower costs and improve experience for members, providers and associates
Cultivate external relationships and build thought leadership to strengthen reputation as a leading quality-oriented healthcare company.
Bring expertise or identify subject matter experts in support of multi-functional efforts to identify, interpret, and produce recommendations and plans based on company and external data analysis. Conducts environmental scans, organizational positioning analyses and other studies.
Bring together the various quality bodies of work to create enterprise clarity and prioritization. Help identify gaps in quality measures and make recommendations to close gaps.


Required Qualifications


Strategy development and implementation for healthcare-related organizations
Strong knowledge and experience with quality and process improvement
Demonstrated experience leading large scale initiatives requiring transformation and change management
Strong business and/or consulting experience
Experience with analytics and use of data
Strong communication skills both verbal and written and proven presentation skills (comfortable presenting to all levels of the organization)
Ability to build strong relationships, influence, establish and drive improved business outcomes
Experience leading cross-functional teams to execute on complex projects
Ability to motivate and engage a diverse group of people toward a common vision with proven results


Desired Qualifications


Clinical background
MBA or other master's degree
Knowledge of Humana's networks, clinical and business analytics and policy levers
Experience with a large scale consulting firm


Additional Information

This role can be performed remotely.

Scheduled Weekly Hours

40

Company info

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