[Hiring] Director, Population Health Strategy @Humana

Role Description

The Population Health Director for the Ohio Medicaid market provides strategic and operational leadership for population health management strategy initiatives. This role is responsible for the design, implementation, and evaluation of strategies that improve health outcomes and reduce disparities among Medicaid members across Ohio. The Director oversees teams dedicated to population health and collaborates with cross-functional teams, provider partners, community-based organizations, and regulatory agencies to advance Humana's mission and meet Ohio Department of Medicaid (ODM) requirements.

• Oversee the MCO's strategic design, implementation, and evaluation of population health management strategy.
• Sponsor and champion MCO and system-wide initiatives.
• Analyze population health data to identify trends, gaps, and opportunities for interventions.
• Develop and execute community engagement strategies in partnership with stakeholders.
• Liaison with ODM, the OhioRISE Plan, the SPBM, and other ODM-contracted MCOs.
• Develop and implement operational plans that address market opportunities and challenges.
• Ensure compliance with ODM requirements and Humana's policies.
• Oversee development and submission of required reports, dashboards, and presentations.
• Support value-based care initiatives and alternative payment models.
• Monitor key performance indicators, manage budgets, and optimize resource allocation.

Qualifications

• Must reside in the state of Ohio.
• Master's degree or other advanced degree in nursing, social work, health services research, health policy, information technology, or a related field.
• At least five years of progressively responsible professional experience in population health, service coordination, ambulatory care, community public health, case or care management.
• Demonstrated knowledge of Medicaid programs, regulations, and quality measures.
• Experience overseeing and developing professional teams, including community engagement professionals.
• Proven ability to analyze and synthesize population health data.
• Strong leadership, communication, and stakeholder engagement skills.
• Ability to work collaboratively in a matrixed organization and manage multiple priorities.

Requirements

• As part of our hiring process, we will be using an interviewing technology called HireVue.
• Self-provided internet service must meet the following criteria:
• Minimum download speed of 25 Mbps and upload speed of 10 Mbps.
• Wireless, wired cable, or DSL connection is suggested.
• Satellite, cellular, and microwave connections can be used only if approved by leadership.
• Employees in California, Illinois, Montana, or South Dakota will receive a bi-weekly payment for internet expenses.
• Humana will provide telephone equipment appropriate for the position.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Occasional travel to Humana's offices for training or meetings may be required.

Benefits

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

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 based on company and/or individual performance.