Remote Director of Care Management

Humana, Inc.; Augusta (ME); Remote; USD 126,000 - 174,000; Full time

Job summary

Humana, Inc. is seeking a Director, Care Management to lead interdisciplinary teams of nurses, social workers and behavioral health professionals to optimize member wellness and coordinate care across programs.

This fully remote role reports to the Senior Vice President, Clinical Operations, requires 40-hour weeks, and offers a pay range of $126,300 to $173,700 per year plus bonus eligibility.

Qualifications

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

Responsibilities

• Oversee the assessment and evaluation of members’ needs to achieve optimal wellness.
• Guide members to resources supporting care, wellbeing, and health outcomes.
• Coordinate with internal and external resources to meet care needs.
• Lead the implementation of new and updated programs and large projects.
• Support and enhance procedures and processes within care management.
• Implement strategic plans and contribute to 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.

Skills

Leadership

Strategic planning

Financial analysis

Healthcare domain

Resource planning

MS Office proficiency

Education

Bachelor’s degree in business, finance or clinical field

Master's Degree in Business Administration or related field

RN state license in field of study

Tools

MS Office (Word, Excel, Access)

Job description

Humana, Inc. is seeking a Director, Care Management to lead interdisciplinary teams of nurses, social workers and behavioral health professionals to optimize member wellness and coordinate care across programs.

This fully remote role reports to the Senior Vice President, Clinical Operations, requires 40-hour weeks, and offers a pay range of $126,300 to $173,700 per year plus bonus eligibility.