Description
Humana Medicaid is seeking an experienced leader to join its National Population Health Management Strategy Organization as a Director, Population Health Strategy – Chronic Condition Management. The successful candidate will shape strategies, solutions, and capabilities to address significant chronic health challenges affecting Medicaid members. The role involves leading a team to develop, evaluate, and improve condition management solutions using population data, clinical evidence, member needs, and market priorities.
Key Responsibilities:
- Lead the 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 the portfolio vision, strategic priorities, and investment strategy in alignment with Medicaid and enterprise objectives.
- Develop business cases that define the opportunity, solution, expected outcomes, value proposition, 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 allowing appropriate adaptation to state requirements, market needs, and member populations.
- Establish portfolio performance metrics, monitor outcomes, identify gaps, and drive continuous improvement.
- Support Medicaid RFPs and other growth initiatives by contributing to solution design, proposal content, and oral presentations.
- Build, develop, and lead a high-performing team with expertise in healthcare strategy, population health, product management, and portfolio development.
Required Qualifications:
- Bachelor's degree.
- Seven (7) or more years of experience in healthcare strategy, population health strategy, clinical program strategy, or healthcare consulting.
- Five (5) or more years of experience developing and scaling healthcare products, clinical programs, or population health solutions.
- Three (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.
Preferred Qualifications:
- Master's degree in public health, healthcare administration, business administration, health informatics, clinical sciences, or a related field.
- Experience in a Medicaid managed care organization or state Medicaid agency.
- Experience developing and scaling products, programs, and benefits for Medicaid members across prevalent chronic conditions.
- Deep working knowledge of Medicaid managed care requirements, state procurement priorities, quality measures, health equity, and health-related social needs.
Additional Information:
- Travel: Up to 15%, including occasional travel outside your state of residence.
- Work Schedule: Eastern Time Zone with a flexible schedule.
- Direct Reports: Leadership responsibility for up to 10 associates.
Benefits: Humana offers competitive benefits that support whole-person well-being, including medical, dental and vision benefits, 401(k) retirement savings plan, time off, short-term and long-term disability, life insurance, and many other opportunities.