Director, Care Management

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $126.3k - $173.7k / 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

• Lead interdisciplinary care management teams, including nurses, social workers and behavioral health professionals • Oversee assessment and evaluation of members’ needs and requirements • Guide members and families toward appropriate care and wellbeing resources • Facilitate coordination with internal and external resources to meet member care needs • Lead implementation of new and updated programs and large-scale functional projects • Support and enhance technical and operational procedures and processes • Implement strategic plans and provide input into functional strategy • Drive departmental goals and objectives to improve performance and outcomes • Direct and lead teams within the health solutions industry • Analyze and interpret trends to support decision-making, program effectiveness and operational improvements • Use Microsoft Office applications, including Word, Excel and Access, for reporting, analysis and communication • Report to the Senior Vice President, Clinical Operations • Contribute to continuous improvement of consumer experiences

🎯 Requirements

• 8 or more years of technical experience • 5 or more years of management experience, including 2 or more years of leading leaders • Bachelor’s degree in business, finance or clinical field • Prior work experience in the health solutions industry with demonstrated success directing and leading teams • Expertise in developing and executing specific measurable goals focused on outcomes • Understanding of and experience driving proactive performance management across a team of scale • Proficiency in analyzing and interpreting financial trends • Experience developing and implementing complex resource plans • Comprehensive knowledge of Microsoft Office applications, including Word, Excel and Access • Typical business hours aligned preferably with CST or EST • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Home internet service with at least 25 Mbps download and 10 Mbps upload speed • Master’s degree in Business Administration or related field preferred • RN state license in field of study preferred

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Home or hybrid home/office work arrangement • Occasional travel to Humana offices for training or meetings

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