Remote Director, Care Management & Wellness Outcomes

Humana; Providence (RI); Remote; USD 126,000 - 174,000; Full time

Benefits offered by this job

Bonus incentive plan

Job summary

Humana, Inc. seeks a Director of Care Management to lead interdisciplinary teams including nurses, social workers and behavioral health professionals, guiding member care and program implementation.

The role requires oversight of needs assessment, resource coordination, and strategic execution to improve outcomes. The position is fully remote in the contiguous US with occasional travel to Humana offices for training or meetings.

Qualifications

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• 8 or more years of technical experience
• 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 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 and wellbeing, and overall 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 to improve performance and outcomes.
• Direct and lead teams within the health solutions industry.
• Analyze trends to support decision-making and program effectiveness.
• Utilize Word, Excel, and Access for reporting and communication.
• Contribute to an organization focused on continuous improvement of consumer experiences.

Skills

Technical leadership

Management experience

Financial trend analysis

Resource planning

Microsoft Office

Education

Bachelor’s degree in business/finance/clinical field

Master’s degree in Business Administration or related field

Tools

Word

Excel

Access

Job description

Humana, Inc. seeks a Director of Care Management to lead interdisciplinary teams including nurses, social workers and behavioral health professionals, guiding member care and program implementation.

The role requires oversight of needs assessment, resource coordination, and strategic execution to improve outcomes. The position is fully remote in the contiguous US with occasional travel to Humana offices for training or meetings.