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About the role
- 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
Benefits
- Health insurance
- 401(k) matching
- Remote work options
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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