[Hiring] Director, Health Solutions @Humana

Role Description

Become a part of our caring community. Humana Medicaid is looking for an experienced leader to join our National Population Health Management Strategy Organization. This role offers an opportunity to improve the health and well-being of Medicaid members by shaping the strategies, solutions, and capabilities that address significant chronic health challenges.

We are building a team of strategic, curious, and result-oriented leaders who thrive in complex environments and are energized by solving meaningful healthcare challenges. Our culture values innovation, accountability, collaboration, and continuous learning. We seek individuals who combine forward-looking strategy with disciplined execution and are motivated to build new capabilities, influence enterprise decisions, and make a lasting impact on the communities we serve.

The Director, Health Solutions – Chronic Condition Management (Director, Population Health Strategy) owns the strategy, development, and performance of a national portfolio of products, programs, benefits, partnerships, and care models that improve outcomes for Medicaid members with chronic and complex conditions. Using population data, clinical evidence, member needs, and market priorities, the Director leads a team that develops, evaluates, and improves condition management solutions. The Director sets investment priorities and measures of success and works across teams to scale solutions responsive to state and member needs. You will own portfolio strategy and performance, while operational teams implement and deliver the solutions.

Qualifications

• Bachelor's degree.
• Seven (7) or more years of experience in healthcare strategy, population health strategy, clinical program strategy, or healthcare consulting with responsibility for translating business and population needs into strategies and solutions.
• Five (5) or more years of experience developing and scaling healthcare products, clinical programs, or population health solutions, from strategy and design through evaluation and growth.
• Three (3) or more years of formal people-leadership experience, including responsibility for team performance and talent development.
• Experience using clinical evidence, population data, utilization patterns, quality measures, or medical-cost information to inform solution design and performance decisions.
• Experience developing product or portfolio strategies, multi-year roadmaps, business cases, performance frameworks, and investment recommendations.
• Experience leading cross-functional initiatives involving clinical, operational, analytical, financial, digital, product, or market stakeholders.
• Experience presenting strategic recommendations and business cases to senior executives or enterprise governance bodies.

Requirements

• Master's degree in public health, healthcare administration, business administration, health informatics, clinical sciences, or a related field.
• Experience in a Medicaid managed care organization or state Medicaid agency, with responsibility for population health strategy, chronic condition management, product development, clinical program design, or Innovation.
• Experience developing and scaling products, programs, and benefits for Medicaid members across prevalent chronic conditions that contribute to avoidable utilization.
• Deep working knowledge of Medicaid managed care requirements, state procurement priorities, quality measures, health equity, and health-related social needs.

Benefits

• Medical, dental and vision benefits.
• 401(k) retirement savings plan.
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave).
• Short-term and long-term disability.
• Life insurance and many other opportunities.

Additional Information

• Travel: Up to 15%, including occasional travel, outside your state of residence for collaborative and team engagement meetings.
• Work Schedule: Eastern Time Zone with a flexible schedule, including occasional nights and weekends, as business needs require.
• Direct Reports: Leadership responsibility for up to 10 associates.
• Work at Home Requirements: Minimum download speed of 25 Mbps and upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Scheduled Weekly Hours: 40.
• Pay Range: $150,000 - $206,300 per year. This job is eligible for a bonus incentive plan based on company and/or individual performance.