Associate Director, Care Management

🕒 Yesterday

🌽 Illinois, Wisconsin – Remote

🌽 Illinois – Remote 🧀 Wisconsin – Remote

💵 $104k - $143k / year

⏰ Full Time

🟠 Senior

👔 Director

🦅 H1B Visa Sponsor

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Lead teams of nurses and behavioral health professionals responsible for care management • Oversee assessment and evaluation of members’ needs to achieve or maintain optimal wellness • Guide members and families toward appropriate care and wellbeing resources • Guide development, implementation, and evaluation of care management programs aligned with organizational objectives and regulatory requirements • Lead multiple managers or highly specialized professional associates • Monitor data sharing among internal and external resources to ensure service integration and continuity of care • Facilitate communication and collaboration with providers, payers, regulatory agencies, and other stakeholders • Lead preparation and presentation of program reports • Use data analytics to monitor performance, identify trends, and recommend improvements • Champion process improvement and innovation initiatives in care management • Travel to provider offices, Illinois HFS and CMS, Humana Illinois locations, and occasional Humana offices for training or meetings

🎯 Requirements

• Must reside in Illinois, Indiana, or Wisconsin • Active, unrestricted RN, LCSW, or LCPC license in Illinois • Six or more years of professional experience in healthcare or managed care • Three or more years of experience working for a managed care health plan • Minimum two years of leadership experience managing leaders or supervisors • Three or more years of experience leading care coordination teams and driving measurable outcomes across diverse member populations • Proficiency in analyzing and interpreting data trends • Progressive business consulting and/or operational leadership experience • Ability to travel within Illinois to provider offices, Illinois HFS, CMS, and Humana Illinois locations • Preferred: advanced degree in nursing, Social Work, or a business-related field • Preferred: experience with MLTSS and HealthChoice populations • Preferred: previous managed care experience • Preferred: five or more years of management/supervisory experience • Ability to work from a dedicated space without ongoing interruptions to protect PHI/HIPAA information • Self-provided internet service with at least 25 Mbps download and 10 Mbps upload speed

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Personal wellness and smart healthcare decision support • Remote work arrangement • Occasional travel for training, meetings, and team engagement