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Job Profile

Clinical Quality Principal

Job Level

Principal

Become a part of our caring community

We are looking for a clinician leader to design clinical programs that improve outcomes for senior and high-risk patients. You will report to the Director of Physician Strategy. You will combine clinical expertise with program development and population health strategy.

You will spend most of your time building and improving care programs across the organization. You will also maintain a small amount of clinical practice time to stay connected to patients and care teams.

This is a senior-level individual contributor role. You will work closely with clinical, operational, and cross-functional partners.

Use your skills to make an impact

What You'll Do

Design clinical programs for high-risk and senior patient populations
Translate population health goals into clear workflows, care plans, and processes
Develop standardized approaches for care management, transitions of care, and chronic condition support
Partner with teams across operations, analytics, product, compliance, and education
Create program materials, documentation standards, and training content
Identify gaps in care delivery and redesign workflows to improve outcomes and efficiency
Ensure education teams understand programs and deliver them.
Use insights and data to improve program performance
Manage projects from planning through implementation and ongoing improvement

What Success Is

Programs are clear, scalable, and used across markets
Care teams understand workflows and can follow them easily
Program changes improve patient outcomes, coordination, or resource use
Teams are aligned and able to implement
You take ownership of work and improve results

Required Qualifications

Licensed Nurse Practitioner (NP) or Physician Assistant (PA)
Active, unrestricted U.S. license in consideration of your work location
Work in a hybrid model (approximately 90% remote, 10% in clinic weekly)
8+ years of experience across clinical care, operations, or program delivery
Experience caring for senior, geriatric, or complex patient populations
Experience designing or leading clinical programs, population health programs, or care models
Translate clinical goals into workflows, processes, and measurable outcomes

Experience in value-based care, Medicare Advantage, or risk-based models
Background in care management, transitions of care, or population health programs
Experience working with interdisciplinary teams (nursing, pharmacy, social work)
Familiarity with EMRs and care management platforms (e.g., Athena, Salesforce Health Cloud)
Experience supporting training, or program rollout

Main Skills

Clinical program development
Population health and care model design
Workflow design and process improvement
Cross-functional collaboration
Change management and implementation

Work Environment

Hybrid role in consideration of a Conviva or CenterWell market
Approximately 90% remote program work and 10% in-clinic care (half-day per week)
The company designs limited clinical time to maintain connection to patients and care delivery.
No direct reports; operate as a senior individual contributor

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

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.

$150,000 - $206,300 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Referral Bonus Information

Associates may receive a bonus for the referral of external candidates to this requisition, provided that all other eligibility requirements are met.

Application Deadline: 01-04-2027

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.

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.