Lead Specialty Care Strategy

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The Lead, Specialty Care Strategy is a high-impact individual contributor role with end-to-end ownership of specialty care network strategy, value-based program performance, and market-level financial analytics. This role is accountable for shaping and advancing specialty care strategies across multiple markets and serves as a strategic thought partner to market and executive leaders. This role will report to the Associate Director, Clinical Operations Strategy.

The Lead will own analytical workstreams, drive strategic recommendations, and influence decision-making related to specialty provider networks, value-based specialty programs, and financial sustainability. Success in this role requires strong strategic judgment, advanced analytical capabilities, and demonstrates strong communication skills when engaging with senior leaders.

Key Responsibilities

Specialty Provider Network Strategy (Ownership)

• Own the design, evaluation, and optimization of specialty provider networks across multiple markets, including performance benchmarking, access, cost, and quality considerations.
• Lead market-level specialty network strategy, identifying gaps, redundancies, and opportunities for preferred partnerships.
• Serve as a primary analytical and strategic resource for market leaders on specialty network performance and evolution.

Value-Based Specialty Programs (Strategic Input)

• Provide direct analytical and strategic input into the design, scaling, and success of value-based specialty care programs.
• Evaluate program performance against cost, utilization, quality, and patient experience metrics, and recommend course corrections.
• Support development of performance frameworks, KPIs, and governance structures for specialty value-based initiatives.

Financial Strategy & Analytics

• Lead advanced financial modeling and scenario analysis related to specialty care utilization, total cost of care, and network ROI.
• Assess market-level financial performance and risk exposure tied to specialty care strategies.
• Partner with finance and executive leadership to support budgeting, forecasting, and long-term financial planning.

Market & Executive Partnership

• Act as a strategic thought partner to market leadership, providing independent insights and recommendations with minimal oversight.
• Translate complex analyses into clear, executive-ready narratives, dashboards, and presentations.
• Support executive decision-making by synthesizing clinical, operational, and financial insights.

Leadership & Influence

• Set analytical standards and best practices for specialty care strategy workstreams.
• Provide informal mentorship and guidance to senior analysts and analysts, without direct people management responsibility.
• Drive cross-functional alignment by proactively engaging clinical, operational, finance, and analytics stakeholders.

Use your skills to make an impact
 

Qualifications

• Bachelor's degree in Business, Finance, Health Administration, Public Health, or a related field (Master's degree preferred).
• 6–9 years of experience in healthcare strategy, analytics, consulting, or finance, with demonstrated ownership of complex initiatives.
• Deep understanding of value-based care models, specialty care economics, and provider network management.
• Advanced analytical skills, including financial modeling, utilization analysis, and performance measurement.
• Strong proficiency in Excel, SQL, and data visualization tools (e.g., Tableau, Power BI).
• Exceptional written and verbal communication skills, with experience presenting to senior and executive leaders.
• Proven ability to operate independently, prioritize work, and influence outcomes across a matrixed organization.

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Preferred Qualifications

• Experience supporting specialty care service lines or specialty-focused value-based arrangements.
• Familiarity with risk adjustment, population health analytics, and total cost of care methodologies.
• Background in payer, provider, or value-based enablement organizations.

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.

 

$104,000 - $143,000 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: 05-31-2026

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.

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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.