Population Health Management — Wellness and Prevention

Humana; Louisville (KY); Hybrid; USD 115,000 - 158,000; Full time

Benefits offered by this job

Medical, dental & vision benefits

401(k) retirement plan

Paid time off & holidays

Parental and caregiver leave

Disability insurance

Job summary

Humana is seeking a Medicaid Population Health Management Lead – Wellness and Prevention to shape strategy and design scalable solutions for vulnerable populations. You will partner across multi-disciplinary teams to translate insights into products that improve health outcomes.

Responsibilities include developing prevention strategies, leading product concepts from discovery through launch, and collaborating with analytics to measure impact while navigating Medicaid priorities and business

Qualifications

• Bachelor's Degree in Business, Public Health, Healthcare Administration, or related field.
• 5+ years of experience in health insurance, healthcare strategy, product or solution development, population health, wellness, or healthcare advisory services.
• 2+ years of healthcare experience focused on Medicaid populations.
• Working knowledge of Medicaid managed care programs, policy, covered services, and the needs of vulnerable and underserved populations.
• Experience developing healthcare products, programs, services, or member-facing solutions.
• Quantitative and qualitative analytical skills, with experience identifying trends and developing actionable recommendations and solutions based on customer value, business need, and feasibility.
• Demonstrated ability to lead cross-functional initiatives and work effectively with a variety of internal and external stakeholders.

Responsibilities

• Develop strategies that help Medicaid members improve their health and well-being through prevention, access, engagement, and healthy behaviors.
• Apply member and population insights, quantitative and qualitative research, policy, and the competitive environment to identify opportunities and inform strategic direction.
• Shape and evolve a portfolio of wellness and prevention solutions aligned to member needs, Medicaid priorities, and business objectives, including differentiated solutions that support Medicaid growth.
• Translate complex population health opportunities into clear recommendations that balance member value, business value, feasibility, and scalability.
• Lead assigned products and solutions from early discovery and concept development through design, validation, launch readiness, and ongoing evolution.
• Translate strategic priorities into clear product concepts, business cases, requirements, and measures of success.
• Use human-centered design, member research, and testing to develop solutions that are relevant and accessible to Medicaid populations.
• Assess existing capabilities, emerging approaches, and potential partnerships to determine the best path to meet identified needs.
• Partner with analytics to evaluate product performance and inform investment, improvement, expansion, or redesign. Mobilize multidisciplinary teams to advance products from strategy to implementation while keeping product intent and requirements clear.

Skills

Healthcare strategy

Medicaid experience

Cross-functional leadership

Analytical thinking

Stakeholder management

User-centered design

Product development

Education

Bachelor's Degree in Business, Public Health, Healthcare Administration, or related field

Master's Degree in Public Health, Business, Healthcare Administration, or related field

Job description

Become a part of our caring community

The Medicaid Population Health Management Lead — Wellness and Prevention is an experienced healthcare strategist with broad Medicaid Managed Care expertise, deep working knowledge of wellness and prevention solutions, and has a proven track record of bringing new solutions to market. You will partner across multi-disciplinary teams at Humana to identify opportunities, develop strategy, and design scalable solutions that support improved health outcomes for vulnerable and underserved populations.

Become a part of our caring community

The Medicaid Population Health Management Lead — Wellness and Prevention is an experienced healthcare strategist with broad Medicaid Managed Care expertise, deep working knowledge of wellness and prevention solutions, and has a proven track record of bringing new solutions to market. You will partner across multi-disciplinary teams at Humana to identify opportunities, develop strategy, and design scalable solutions that support improved health outcomes for vulnerable and underserved populations.

As the Medicaid Population Health Management Lead – Wellness and Prevention, you will:

Wellness and Prevention Strategy

• Develop strategies that help Medicaid members improve their health and well-being through prevention, access, engagement, and healthy behaviors.
• Apply member and population insights, quantitative and qualitative research, policy, and the competitive environment to identify opportunities and inform strategic direction.
• Shape and evolve a portfolio of wellness and prevention solutions aligned to member needs, Medicaid priorities, and business objectives, including differentiated solutions that support Medicaid growth.
• Translate complex population health opportunities into clear recommendations that balance member value, business value, feasibility, and scalability.

Product Development and Innovation

• Lead assigned products and solutions from early discovery and concept development through design, validation, launch readiness, and ongoing evolution.
• Translate strategic priorities into clear product concepts, business cases, requirements, and measures of success.
• Use human-centered design, member research, and testing to develop solutions that are relevant and accessible to Medicaid populations.
• Assess existing capabilities, emerging approaches, and potential partnerships to determine the best path to meet identified needs.
• Partner with analytics to evaluate product performance and inform investment, improvement, expansion, or redesign. Mobilize multidisciplinary teams to advance products from strategy to implementation while keeping product intent and requirements clear.

Culture and Approach

• Champion agile and customer-centric ways of working to design and develop meaningful experiences for Medicaid members.
• Bring structure to ambiguous problems, exercises independent judgment, and translates complex information into clear recommendations and decisions.
• Build collaborative relationships and engage diverse partners and subject matter experts to advance shared objectives.
• Apply product and project management practices, such as user research, concept testing, business cases, and journey mapping to set plans, milestones, dependencies, and accountability.

Required Qualifications

Use your skills to make an impact

• Bachelor's Degree in Business, Public Health, Healthcare Administration, or a related field.
• 5+ years of experience in health insurance, healthcare strategy, product or solution development, population health, wellness, or healthcare advisory services.
• 2+ years of healthcare experience focused on Medicaid populations.
• Working knowledge of Medicaid managed care programs, policy, covered services, and the needs of vulnerable and underserved populations.
• Experience developing healthcare products, programs, services, or member-facing solutions.
• Quantitative and qualitative analytical skills, with experience identifying trends and developing actionable recommendations and solutions based on customer value, business need, and feasibility.
• Demonstrated ability to lead cross-functional initiatives and work effectively with a variety of internal and external stakeholders.

Preferred Qualifications

• Master's Degree in Public Health, Business, Healthcare Administration, or a related field.
• Experience with wellness, prevention, behavioral economics, health education, member engagement, incentives, digital health, or health behavior change.
• Experience supporting Medicaid business development or procurement activities.
• Experience working with government or state agencies.
• Experience with product management, human-centered design, Agile product development, project management, or process improvement methodologies.
• Experience developing business cases and performance measurement approaches.
• Proven ability to work with remote teams and foster a cohesive and creative work environment.

Additional Information

• Workstyle: Hybrid Office if you live within commuting distance of our office locations in Tampa, FL or Louisville, KY, or Remote if you live outside of Tampa, FL and Louisville, KY
• Travel: Up to 15%
• Core Work Days & Hours: Monday – Friday; Eastern Standard Time (EST) with flexible scheduling, including occasional nights and weekends

Work from 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.

$115,200 - $158,400 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: 10-31-2026

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.