Humana Inc
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Job Title:
Clinical Operations Lead
Location:
Remote, USA with preferred locations in Boston, MA or Washington, DC
We’re seeking a Clinical Operations Lead for CenterWell Medical Group who brings energy, creativity, and a bias toward action in transforming healthcare. This is a hands‑on role for someone who loves to take big ideas and turn them into tangible results. Reporting directly to the Chief Medical Officer, this role will design, implement, and optimize clinical programs that drive quality, efficiency, and impact.
The ideal candidate is an operational expert and is eager to be on the forefront of healthcare innovation. This role works closely with senior leaders, providers, operations, and technology teams to bring new care models to life — translating strategic vision into daily practice.
They have deep expertise in clinical operations, including understanding the patient and provider experience. They thrive in a fast‑paced environment, enjoy problem‑solving, and are not afraid to roll up their sleeves.
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
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
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.
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.
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Job Title:
Clinical Operations Lead
Location:
Remote, USA with preferred locations in Boston, MA or Washington, DC
We’re seeking a Clinical Operations Lead for CenterWell Medical Group who brings energy, creativity, and a bias toward action in transforming healthcare. This is a hands‑on role for someone who loves to take big ideas and turn them into tangible results. Reporting directly to the Chief Medical Officer, this role will design, implement, and optimize clinical programs that drive quality, efficiency, and impact.
The ideal candidate is an operational expert and is eager to be on the forefront of healthcare innovation. This role works closely with senior leaders, providers, operations, and technology teams to bring new care models to life — translating strategic vision into daily practice.
They have deep expertise in clinical operations, including understanding the patient and provider experience. They thrive in a fast‑paced environment, enjoy problem‑solving, and are not afraid to roll up their sleeves.
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
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
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.
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.
#J-18808-Ljbffr