Vice President overseeing Medicaid Clinical Economics & Quality at Humana. Responsible for strategic, operational leadership, and program effectiveness in the Medicaid segment.
Responsibilities
Provide strategic and operational leadership for clinical effectiveness within the Medicaid segment.
Integrate Medical Economics, Clinical Insights, and Quality to deliver improved health outcomes.
Optimize medical cost management and drive program performance.
Partner with segment leaders and cross-functional teams to develop evidence-based strategies.
Oversee the creation and tracking of performance scorecards and financial metrics.
Direct population health strategy and guide pharmacy and care management strategies.
Oversee quality management, including compliance with Medicaid requirements and regulatory standards.
Build, mentor, and lead multidisciplinary teams across analytics, economics, and quality functions.
Serve as a strategic advisor to the executive team for actionable business insights.
Requirements
Bachelor’s Degree/Master’s degree or Ph. D preferred
5+ years leadership experience
10+ years relevant healthcare analytics or clinical operations, including Medicaid
Proven track record of integrating medical economics, quality, and clinical insights to drive measurable outcomes.
Strong grasp of Medicaid policy, quality measurement, population health, and value-based care.
Demonstrated ability to influence senior leaders and build alignment across diverse functions.
Decisive, action-oriented leadership style — thrives in complexity and ambiguity, executes with urgency.
Must reside or be willing to relocate to either Louisville, KY or Tampa, FL
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