Job Description
Job Title: Clinical Operations Lead
Location: Remote, USA with preferred locations in Boston, MA or Washington, DC
What You'll Do
Design and implement programming to support quality care, focusing on end-to-end operations and driving projects to completion (ex. Diabetes management program)
Act as a clinical operations escalation point for key internal stakeholders
Analyze performance data and develop frameworks for continuous improvement processes, including how to prioritize with business objectives in mind
Drive continuous improvement across quality, safety, and provider experience
Lead provider activation workstream - support license expansion, collaborative requirements, chart reviews, and cross-collaboration with legal, credentialing and technology stakeholders
Standardize and optimize workflows across clinical onboarding and training
Partner with business operations, technology partners, and subject matter experts to collaborate on business initiatives that support clinical workflows and provider performance
Requirements
Bachelor's degree
5+ years of experience in healthcare consulting, clinical operations, or a similar role
Experience working in innovative or rapidly scaling healthcare environments
Strong organizational and project management skills with a focus on execution and outcomes.
An understanding of telehealth and healthcare regulations, with a compliance mindset
A clear communicator who builds trust and alignment across clinical and non-clinical teams
A data-informed operator who can develop and execute new clinical programming while maintaining stakeholder alignment
Ability to work independently in a fast-paced, remote-friendly environment.
Must be able to travel as needed about 10%
Advanced Microsoft Office skills
Preferences
Master's degree
Clinical background preferred (ex. RN, Pharmacist, NP, etc)
Startup or digital health experience a plus
Virtual care or value-based care experience
Experience implementing quality programs that focus on clinical outcomes
Remote, USA with preferred locations in Boston, MA or Washington, DC
Alert
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Interview Format – HireVue
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Benefits
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
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Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay 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.
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: 03-30-2026
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.