Director, Health Solutions (Chronic Condition Management)

Humana; United States; Remote; USD 150,000 - 206,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

401(k) retirement savings plan

Paid time off and holidays

Disability and life insurance

Job summary

Humana is seeking a Director, Health Solutions – Chronic Condition Management to lead strategy and performance for a national portfolio of Medicaid products and programs. You will translate population health insights into opportunities, set investment priorities, and scale solutions across states.

You will build a high-performing team, own roadmaps, and influence enterprise decisions while collaborating across clinical, operational, analytical, and product domains.

Qualifications

• Bachelor’s degree.
• 7+ years of experience in healthcare strategy or population health strategy.
• 5+ years of scaling healthcare products or population health solutions.
• 3+ years of formal people-leadership experience.

Responsibilities

• Lead the development and execution of the national Chronic Condition Management product strategy and roadmap.
• Translate insights, needs, and evidence into actionable product opportunities.
• Establish portfolio vision, priorities, and investment strategy aligned with Medicaid goals.
• Develop business cases with opportunity, outcomes, value proposition, and requirements.
• Prioritize investments based on impact, affordability, quality, scalability, and readiness.
• Ensure national-scale solutions with state adaptations.
• Set portfolio metrics, monitor outcomes, and drive improvements.
• Support Medicaid RFPs and growth initiatives with design and content contributions.
• Build and lead a high-performing team with healthcare strategy and portfolio development expertise.

Skills

Strategic leadership

Population health

Healthcare strategy

Cross-functional leadership

Data-driven decisions

Education

Bachelor’s degree

Master’s degree (preferred)

Job description

Become a part of our caring community

Humana Medicaid is looking for an experienced leader to join our National Population Health Management Strategy Organization. This role offers an opportunity to improve the health and well-being of Medicaid members by shaping the strategies, solutions, and capabilities that address significant chronic health challenges.

We are building a team of strategic, curious, and result-oriented leaders who thrive in complex environments and are energized by solving meaningful healthcare challenges. Our culture values innovation, accountability, collaboration, and continuous learning. We seek individuals who combine forward-looking strategy with disciplined execution and are motivated to build new capabilities, influence enterprise decisions, and make a lasting impact on the communities we serve.

The Director, Health Solutions – Chronic Condition Management (Director, Population Health Strategy) owns the strategy, development, and performance of a national portfolio of products, programs, benefits, partnerships, and care models that improve outcomes for Medicaid members with chronic and complex conditions. Using population data, clinical evidence, member needs, and market priorities, the Director, Health Solutions – Chronic Condition Management (Director, Population Health Strategy) leads a team that develops, evaluates, and improves condition management solutions. The Director, Health Solutions – Chronic Condition Management (Director, Population Health Strategy) sets investment priorities and measures of success and works across teams to scale solutions responsive to state and member needs. You will own portfolio strategy and performance, while operational teams implement and deliver the solutions.

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.

Use your skills to make an impact

Required Qualifications

• Bachelor’s degree.
• Seven (7) or more years of experience in healthcare strategy, population health strategy, clinical program strategy, or healthcare consulting with responsibility for 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.

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, with responsibility for population health strategy, chronic condition management, product development, clinical program design, or Innovation.
• Experience developing and scaling products, programs, and benefits for Medicaid members across prevalent chronic conditions that contribute to avoidable utilization.
• 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 for collaborative and team engagement meetings.
• Work Schedule: Eastern Time Zone with a flexible schedule, including occasional nights and weekends, as business needs require.
• Direct Reports: Leadership responsibility for up to 10 associates.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$150,000 - $206,300 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 01-27-2027

About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.