[Remote] Lead Product & Strategy Manager – Provider Practice Management

Note: The job is a remote job and is open to candidates in USA. Humana Inc. is committed to putting health first and is seeking a dynamic Lead Product Manager to develop clinical solutions for their members and providers. This role involves working across clinical initiatives to reduce 30-day Plan All-Cause Readmissions and requires expertise in healthcare delivery and operational redesign. Responsibilities • Engage with high-performing provider groups to understand clinical workflows, transitional care processes, and operational drivers that contribute to lower readmission rates. • Conduct targeted discovery with low-performing providers to identify barriers, workflow breakdowns, staffing constraints, or data usability issues that inhibit execution of best practices. • Translate field insights into a clear set of best practices and operational playbooks that provider organizations can adopt to meaningfully reduce readmissions. • Partner with Clinical Analytics to understand key data patterns and root causes of readmissions and convert these signals into provider-friendly insights. • Lead the design and refinement of provider-facing data views (dashboards, insights, performance summaries) to ensure they are actionable, timely, and aligned to provider workflows. • Work with product leads and data teams to prioritize enhancements that make insights easier for providers to use — e.g., surfacing patients most likely to readmit, highlighting missed touchpoints, or flagging operational risk. • Serve as the primary operational liaison with targeted provider groups, ensuring best practices are activated and sustained. • Co-develop and support rollout of interventions such as transitional care workflows, follow-up protocols, huddle tools, or care-team guidance that directly reduce readmission risk. • Work with enterprise partners (e.g., care management, clinical programs, analytics, population health) to ensure alignment and remove operational barriers to provider adoption. • Define the strategic roadmap for provider practice improvements related to PCR. • Set measurable targets, track provider engagement, and monitor performance lift over time. • Synthesize complex clinical, operational, and analytic information into clear recommendations for executive leadership. Skills • Bachelor’s degree • 7 or more years of experience in population health strategy, health outcomes strategies and/or provider practice management OR 3 years of management consulting with additional 2-3 years of professional work experience • Strong understanding of transitional care management • Experience working directly with provider groups, clinical leaders, or care teams • Experience in advanced primary care or high-performance provider model organizations (e.g., ChenMed, Oak Street, Cityblock, Iora, CareMore) • Strong data literacy with demonstrated experience using analytics to drive operational insights • Excellent communication, relationship-building, and cross-functional collaboration skills • Ability to independently manage complex initiatives, work across departments, and drive execution without day-to-day oversight • Background as a clinician (RN, NP, PA, MD, PharmD, or similar) • Experience with population health workflows and drivers of 30-day readmissions • Experience in management consulting and clinical practice (ideal but not required) • Expertise in provider workflow optimization, care transitions, or readmission reduction programs • Familiarity with EHR workflows and system integrations • Demonstrated ability to translate analytics into operationally executable solutions Benefits • 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 Company Overview • Humana is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is Company H1B Sponsorship • Humana has a track record of offering H1B sponsorships, with 202 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job