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Director of Health Services - Pacific Southwest Region - Remote

Posted 2 days ago
All others
Full Time
CA, USA
$138,900 - $191,000/year

Overview

The Clinical Director is a key member of the regional clinical leadership team responsible for executing market-level clinical strategy, supporting provider performance, and coordinating with cross-functional teams to drive quality, utilization, and cost-of-care outcomes.

In Short

  • Execute market-level clinical strategy and support provider performance.
  • Build relationships with providers to enhance clinical performance.
  • Drive clinical initiatives across the provider network.
  • Monitor key performance indicators and prepare performance dashboards.
  • Implement regional pilots and vendor-supported programs.
  • Ensure compliance with clinical policies and quality standards.
  • Collaborate with hospital leadership for operational excellence.
  • Participate in governance committees and support oversight activities.
  • Engage with analytics and finance teams for data-driven performance management.
  • Occasional travel required within the Pacific Southwest region.

Requirements

  • Clinical degree with active unrestricted license (e.g. RN, NP).
  • 5+ years of experience in clinical operations or care management.
  • Strong understanding of value-based care and quality metrics.
  • Excellent communication skills for engaging with diverse audiences.
  • Ability to manage cross-functional projects effectively.
  • Experience in both provider and payer roles preferred.
  • Advanced degree in business or population health preferred.
  • Must be able to travel up to 30-35% in the Pacific Southwest region.

Benefits

  • Health benefits effective day 1.
  • Paid time off, holidays, and volunteer time.
  • 401(k) retirement savings plan with employer match.
  • Tuition assistance and scholarships for dependents.
  • Employee charity matching program.
  • Career development opportunities.
  • Remote work support including internet expense reimbursement.
  • Recognition pay for outstanding performance.

H.A.H.

Humana At Home 1

004 Humana Insurance Company is dedicated to putting health first for its teammates, customers, and the communities it serves. As a leading provider of insurance and healthcare services, Humana focuses on improving the quality of life for millions of individuals, including those with Medicare and Medicaid, families, and military personnel. The company emphasizes a holistic approach to well-being, offering a range of benefits designed to support personal wellness and smart healthcare decisions. Humana is committed to fostering an inclusive workplace and actively promotes equal opportunity for all employees.

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