Remote Director of Care Management

Humana, Inc.; Pierre (SD); Remote; USD 126,000 - 174,000; Full time

Benefits offered by this job

Bonus incentive plan

Competitive benefits

Job summary

Humana, Inc. is seeking a Director of Care Management to lead interdisciplinary teams focused on optimizing member wellness. The role directs assessments, guides families to resources, and drives large-scale programs across care management operations.

This fully remote position supports the contiguous US with occasional travel to Humana offices for training or meetings. It reports to the Senior Vice President, Clinical Operations and emphasizes data-driven decisions and performance improvements.

Qualifications

• 8+ years of technical experience.
• 5+ years of management experience, including 2+ years of leading leaders.
• Bachelor’s degree in business, finance or clinical field.
• Experience in health solutions industry 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, wellbeing, and overall health outcomes.
• Facilitate coordination and interaction with internal and external resources to meet member care needs.
• Lead the implementation of new and updated programs, as well as large-scale functional projects.
• Support and enhance technical and operational procedures and processes within care management.
• Implement strategic plans and provide input into functional strategy.
• Drive departmental goals and objectives to improve overall performance and outcomes.
• Direct and lead teams within the health solutions industry.
• Analyze and interpret trends to support decision-making, program effectiveness, and operational improvements.
• Utilize Microsoft Office applications, including Word, Excel, and Access, to support reporting, analysis, and communication.
• Contribute to an organization focused on continuously improving consumer experiences.

Skills

Leadership

Team management

Strategic planning

Financial analysis

Communication

MS Office

Education

Bachelor's degree in business/finance/clinical

Master's Degree in Business Administration

RN license

Tools

Word

Excel

Access

Job description

Humana, Inc. is seeking a Director of Care Management to lead interdisciplinary teams focused on optimizing member wellness. The role directs assessments, guides families to resources, and drives large-scale programs across care management operations.

This fully remote position supports the contiguous US with occasional travel to Humana offices for training or meetings. It reports to the Senior Vice President, Clinical Operations and emphasizes data-driven decisions and performance improvements.