Care Management Director - Remote Health Solutions Leader

Humana, Inc.; Salem (OR); Remote; USD 126,000 - 174,000; Full time

Benefits offered by this job

Bonus incentive plan

Job summary

Humana, Inc. is seeking a Director of Care Management to lead interdisciplinary teams and guide care management programs across the organization.

The role focuses on assessing members’ needs, guiding families to resources, and driving strategic program implementation to improve wellness outcomes. Responsibilities include coordinating with internal and external resources, improving processes, and reporting on program effectiveness.

Qualifications

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• 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 all Microsoft Office applications, including Word, Excel and Access

Responsibilities

• Oversee the assessment and evaluation of members’ needs and requirements to help achieve and/or maintain an optimal wellness state.
• Guide members and families to appropriate resources that support care, wellbeing, and overall health outcomes.
• Facilitate coordination and interaction with internal and external resources to meet member care needs.
• Lead the implementation of new and updated programs, as well as large-scale functional projects.
• Support and enhance technical and operational procedures and processes within care management.
• Implement strategic plans and provide input into functional strategy.
• Drive departmental goals and objectives to improve overall 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.
• Utilize Microsoft Office applications, including Word, Excel and Access, to support reporting, analysis, and communication.
• Contribute to an organization focused on continuously improving consumer experiences.

Skills

Management experience

Leading leaders

Strategic planning

Financial analysis

Resource planning

MS Office (Word/Excel/Access)

Health solutions industry experience

Education

Bachelor’s degree in business, finance or clinical field

Master's Degree in Business Administration or related field

RN state license

Job description

Humana, Inc. is seeking a Director of Care Management to lead interdisciplinary teams and guide care management programs across the organization.

The role focuses on assessing members’ needs, guiding families to resources, and driving strategic program implementation to improve wellness outcomes. Responsibilities include coordinating with internal and external resources, improving processes, and reporting on program effectiveness.