Director, Population Health Strategy – Chronic Condition Management

🕒 2 days ago

🇺🇸 United States – Remote

💵 $150k - $206.3k / year

⏰ Full Time

🔴 Lead

👔 Director

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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

• Own the strategy, development, and performance of a national portfolio of Medicaid chronic and complex condition products, programs, benefits, partnerships, and care models • Lead development and execution of the national Chronic Condition Management product strategy, portfolio, and multi-year roadmap • Translate population insights, member needs, clinical evidence, quality gaps, utilization patterns, and market priorities into actionable product opportunities • Establish portfolio vision, strategic priorities, and investment strategy aligned with Medicaid and enterprise objectives • Develop business cases defining opportunities, solutions, expected outcomes, value propositions, implementation requirements, risks, and resource needs • Prioritize investments based on member impact, clinical opportunity, affordability, quality improvement, scalability, organizational readiness, and business value • Ensure solutions are designed for national scale while adapting to state requirements, market needs, and member populations • Establish portfolio performance metrics, monitor outcomes, identify gaps, and drive continuous improvement • Support Medicaid RFPs and growth initiatives through solution design, proposal content, and oral presentations • Build, develop, and lead a high-performing team across healthcare strategy, population health, product management, and portfolio development • Set investment priorities and measures of success while operational teams implement and deliver solutions • Lead up to 10 direct reports • Travel occasionally, including up to 15% travel outside the state of residence for meetings, training, and team engagement

🎯 Requirements

• Bachelor's degree • Seven (7) or more years of experience in healthcare strategy, population health strategy, clinical program strategy, or healthcare consulting, 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 • Work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Internet service with minimum download speed of 25 Mbps and upload speed of 10 Mbps • Ability to work Eastern Time Zone with a flexible schedule, including occasional nights and weekends as business needs require • Preferred: Master's degree in public health, healthcare administration, business administration, health informatics, clinical sciences, or a related field • Preferred: Experience in a Medicaid managed care organization or state Medicaid agency • Preferred: Experience developing and scaling products, programs, and benefits for Medicaid members across prevalent chronic conditions • Preferred: Deep working knowledge of Medicaid managed care requirements, state procurement priorities, quality measures, health equity, and health-related social needs

🏖️ 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 support • Flexible schedule • Remote work arrangement • Training and collaborative/team engagement opportunities

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