facility-based care) + Partner with internal teams to **design and scale home-based care models** + Contribute to strategy for **integrated post-acute networks and partnerships** **Quality & Performance Improvement** + Drive improvements in: + Readmissions and avoidable utilization + HH episode/visit efficiency and SNF length of stay + Member experience and care access + Use analytics to identify variation and implement targeted interventions **Team Leadership & Development** + Lead and coach Medical Directors and clinical professionals + Build a culture of **accountability, collaboration, and continuous improvement** + Align team performance to enterprise goals and outcomes **Operational Excellence** + Improve **utilization management workflows, turnaround times, and consistency** + Ensure regulatory compliance and audit readiness + Optimize staffing models and clinical resource deployment **Cross-Functional Collaboration** + Care management + Provider/network teams + Clinical program leaders + Operations and compliance + Act as a key clinical voice across OneHome and Humana **Sponsorship is not available for this role** **Use your skills to make an impact** **Qualifications** **Required** + MD or DO with **unrestricted U.S. license** + **Board certification (ABMS)** + 3+ years in **Medicare Advantage, utilization management, or post-acute care** + Experience in **clinical decision-making within health plans or integrated systems** + Strong knowledge of **CMS regulations and UM principles** + Proven leadership in **matrixed or cross-functional environments** + Data-driven mindset with ability to translate insights into action **Preferred** + Experience in **home health, post-acute, or value-based care models** + Leader of **multi-market or distributed clinical teams** + MBA, MMM, or advanced leadership training + Background in **payer-provider integrated organizations** **Success in This Role** You will know you are succeeding when: + Members experience **seamless, high-quality care at home** + Providers view you as a **trusted clinical partner-not a barrier** + Teams are **engaged, accountable, and aligned** + Clinical decisions consistently balance **quality, experience, and cost** + You are influencing not just cases-but the **future of care delivery** **Why OneHome + Humana** OneHome is redefining post-acute care as part of Humana's bold vision to **put health first** . Lead in a Culture Built on Humanity & Performance** Your leadership is guided by The Humana Way-a culture system designed to create simpler, faster, better healthcare **You will lead by:** + Listening first (member + provider centricity) + Simplifying complexity (removing friction from care delivery) + Driving bold outcomes (not activity) + Anticipating future needs (vs reacting) + Building one team across silos **4.