Director, Health Solutions – Chronic Condition Management

Job not on LinkedIn

🔥 5 minutes ago

🇺🇸 United States – Remote

💵 $150k - $206.3k / year

⏰ Full Time

🔴 Lead

👔 Director

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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 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 covering 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 specializing in healthcare strategy, population health, product management, and portfolio development • Own portfolio strategy and performance while operational teams implement and deliver solutions • Lead up to 10 direct reports

🎯 Requirements

• Bachelor's degree • 7 or more years of experience in healthcare strategy, population health strategy, clinical program strategy, or healthcare consulting • 5 or more years of experience developing and scaling healthcare products, clinical programs, or population health solutions • 3 or more years of formal people-leadership experience • 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 lacking ongoing interruptions to protect member PHI / HIPAA information • Self-provided internet service with minimum download speed of 25 Mbps and upload speed of 10 Mbps • Ability to work Eastern Time Zone with 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, 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 • Personal wellness and smart healthcare decision support • Remote work arrangement • Flexible schedule • Occasional travel to Humana offices for training or meetings