Remote Director, Care Management & Strategy

Humana, Inc.; Honolulu (HI); Remote; USD 126,000 - 174,000; Full time

Job summary

Humana, Inc. is seeking a Director, Care Management to lead interdisciplinary teams including nurses, social workers, and behavioral health professionals.

The role guides members and families toward resources, coordinating care and program implementation to improve outcomes. The position reports to the Senior Vice President, Clinical Operations and offers a fully remote work arrangement within the contiguous US with occasional travel for training or meetings.

Qualifications

• 8+ years in a technical role with consumer experience focus
• 5+ years of management, including 2+ years leading leaders
• Bachelor’s degree in business, finance or clinical field
• Experience directing and leading teams in health solutions
• Experience developing and executing measurable goals focused on outcomes
• Experience driving proactive performance management across a large team
• Proficiency in analyzing and interpreting financial trends
• Experience developing and implementing complex resource plans
• Comprehensive knowledge of Microsoft Office apps: Word, Excel, Access

Responsibilities

• Oversee assessment and evaluation of members’ needs and requirements to achieve optimal wellness state.
• Guide members and families to resources supporting care, wellbeing, and health outcomes.
• Facilitate coordination with internal and external resources to meet member care needs.
• Lead the implementation of new and updated programs and large-scale projects.
• Support and enhance technical and operational procedures within care management.
• Implement strategic plans and provide input into functional strategy.
• Drive departmental goals and improve performance and outcomes.
• Direct and lead teams within the health solutions industry.
• Analyze trends to support decision-making and program effectiveness.
• Use Word, Excel, and Access to support reporting and communication.
• Contribute to continuous improvement of consumer experiences.

Skills

Leadership

Management experience

Strategic planning

Resource planning

Financial analysis

Education

Bachelor's degree in business, finance or clinical field

Master's Degree in Business Administration or related field

Tools

Microsoft Word

Microsoft Excel

Microsoft Access

Job description

Humana, Inc. is seeking a Director, Care Management to lead interdisciplinary teams including nurses, social workers, and behavioral health professionals.

The role guides members and families toward resources, coordinating care and program implementation to improve outcomes. The position reports to the Senior Vice President, Clinical Operations and offers a fully remote work arrangement within the contiguous US with occasional travel for training or meetings.