Andrew Renda

About Andrew Renda

I build population health infrastructure that changes how organizations invest – I quantified that 1 Unhealthy Day costs $15.64 PMPM in increased medical spend, and that finding reshaped how a Fortune 50 C-suite allocates capital. Over 18 years at Humana, I\'ve built the clinical infrastructure, data ecosystems, and community health architecture – nationwide for Medicare and across 10+ Medicaid states – that define what enterprise population health actually looks like in practice. As a Certified Health Insurance Executive (CHIE) and Modern Healthcare Top 25 Innovator, my work focuses on building and scaling models that improve health outcomes, reduce cost, and integrate social risk into clinical and operational workflows.My expertise spans analytics, insights, strategy, product design, and multi stakeholder collaboration. I have led initiatives across Medicare, Medicaid, and commercial populations, emphasizing co-creation of medical, behavioral, and social health solutions that maximize Health-Related Quality of Life (HRQoL) and improve health outcomes. And, I’ve held board and leadership roles with the Gravity Project, Kentuckiana Health Collaborative, and the Kentucky Science Center, helping to shape health and SDOH standards, policy, and impact.I’m particularly effective in organizations - large or emerging - that need to:• Build or mature population health and SDOH/HRSN strategy• Integrate social risk data into enterprise systems and workflows• Align clinical models with value based care and regulatory requirements• Develop scalable community and cross sector partnerships• Navigate CMS, NCQA, HL7, and interoperability standards• Translate evidence based interventions into operational executionI bring payer scale experience with the agility to help health systems, tech companies, and mission driven organizations accelerate their population health and health equity goals.

Experience

1. Vice President, Clinical Strategy Advancement and Evaluation, Humana Healthy Horizons (Medicaid)

   Humana

   Oct 2022 — Present · Louisville, KY, US

   Report directly to the Medicaid Chief Medical Officer as the enterprise-wide VP accountable for clinical strategy, population health, and health equity program design across a 10+ state Humana Healthy Horizons Medicaid footprint covering 1.5M beneficiaries. Lead 50+ direct and indirect associates organized across four integrated Centers, with governance over clinical analytics, population health strategy, health innovation, CBO partnerships, and population health/health equity NCQA accreditation strategy. Population health strategy directly contributed to 11 Medicaid contract wins across 8 states, demonstrating measurable competitive differentiation. Serve on the enterprise Physician Executive Council and ESG Steering Committee. Mission executed through 4 Centers: Center for Applied Clinical Intelligence – Built and govern 6 enterprise clinical BI tools serving 500+ users across all Medicaid markets, delivering clinical insights to clinical, operations, and business development teams. Actionable Clinical Insights Forums (ACIF), deployed across 10+ markets, translate analytics into market-level clinical action and innovation. Center for Equitable Population Health – Designed and deployed national Population Health frameworks, Clinical Models, and a National CBO Partnership infrastructure. Provided enterprise Population Health, SDOH, Clinical content for RFPs. Center for Clinical Innovation – Developed and govern Humana\'s Medicaid Health Management Innovation Portfolio resulting in 10+ solutions launched across telehealth, clinical, community-based care, and SDOH domains. Scaled Humana Community Navigator as a national program now active in 10+ Medicaid states. Center for Clinical Effectiveness – Deployed a centralized, Medicaid-wide clinical and population health program evaluation infrastructure. This Center serves as the enterprise mechanism translating innovation pilots into scalable, outcomes-validated clinical programs.

Education

• University of Kentucky

  BS, Psychology, Biology

  1996 — 2000

• Harvard T.H. Chan School of Public Health

  MPH, Health Policy and Management

  2007 — 2008

• The Royal College of Surgeons in Ireland

  MD, Medicine

  2000 — 2005

Skills

• Medical Management
• Physicians
• Clinical Strategy
• Medicaid
• Hospitals
• Program Management
• Communication
• Population Health
• Clinical Trials
• Hipaa
• Quality Improvement
• Pharmacy
• Healthcare Management
• Data Analysis
• Medical Education
• Employee Benefits
• Strategic Planning
• Medicine
• Process Improvement
• Cross-Functional Team Leadership
• Healthcare Consulting
• Health Promotion
• Clinical
• Disease Management
• Healthcare Industry
• Health Policy
• Healthcare
• Clinical Research
• Policy
• Medicare
• Informatics
• Health Insurance
• Managed Care
• Healthcare Information Technology
• Leadership
• Strategy
• Public Health
• Health
• Utilization Management
• Epidemiology