Director, Population Health Strategy – Chronic Condition Management

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

Job summary

Humana, Inc. is seeking a strategic leader to own the national Population Health Strategy for Chronic Condition Management in Medicaid.

You will shape multi-year roadmaps, translate insights into scalable programs, and lead cross-functional teams to drive outcomes for members with chronic conditions. You will build business cases, align with enterprise goals, and influence state Medicaid priorities while delivering high-impact, data-informed solutions in a remote nationwide setting.

Qualifications

• Bachelor's degree in healthcare, public health, business, or related field.
• 7+ years in healthcare strategy and population health strategy.
• 5+ years scaling healthcare products or programs.
• 3+ years leading teams.
• Experience using data to inform design and performance decisions.

Responsibilities

• Lead development and execution of national Chronic Condition Management strategy and roadmap.
• Translate insights into actionable product opportunities.
• Develop business cases and investment strategy.
• Monitor outcomes and drive continuous improvement.
• Support Medicaid RFPs and growth initiatives.

Skills

Healthcare strategy

Population health

Clinical program design

Leadership

Cross-functional collaboration

Executive presentation

Education

Bachelor's degree

Master's degree (preferred)

Job description

Director, Population Health Strategy – Chronic Condition Management### Director, Population Health Strategy – Chronic Condition ManagementApply: Remote Nationwide: Full time: Posted Today: R-434983# **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, Population Health Strategy – Chronic Condition Management 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, Population Health Strategy – Chronic Condition Managementleads a team that develops, evaluates, and improves condition management solutions. The Director, Population Health Strategy – Chronic Condition Management 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 yearThis 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