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Director of Health Services - South Central Region - Remote

Posted 2 days ago
Healthcare
Full Time
TX, 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 clinical strategy and support provider performance.
  • Build relationships with provider group leaders.
  • Drive improvements in patient experience and operational excellence.
  • Monitor key performance indicators and support action plans.
  • Implement regional pilots and vendor-supported programs.
  • Ensure compliance with clinical policies and quality standards.
  • Collaborate with hospital leadership for governance practices.
  • Manage cross-functional projects and stakeholder collaboration.
  • Travel up to 30-35% within the South Central Region.
  • Eligible for bonus incentive plan based on performance.

Requirements

  • Clinical degree with active unrestricted license (e.g. RN, NP).
  • 5+ years in clinical operations or care management.
  • 5+ years in the managed care industry.
  • Strong understanding of value-based care and quality metrics.
  • Proficient in data monitoring and decision-making.
  • Excellent written and verbal communication skills.
  • Ability to manage cross-functional projects.
  • Experience in both provider and payer roles preferred.
  • Advanced degree in business or management preferred.
  • Prior executive-level experience preferred.

Benefits

  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Paid time off and holidays.
  • Short-term and long-term disability.
  • Life insurance and other opportunities.

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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