Remote Director of Care Management

Humana; Trenton (NJ); Remote; USD 126,000 - 174,000; Full time

Job summary

Humana, Inc. is seeking a Director of Care Management to lead interdisciplinary teams responsible for care management and optimize member wellness.

The role focuses on guiding members toward resources, implementing programs, and driving strategic plans within a remote work setup in the contiguous US. The position demands substantial leadership experience, strong analytical skills, and a proven ability to manage complex care initiatives and performance metrics.

Qualifications

• 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 demonstrated 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, 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.

Skills

Leadership

Management experience

Strategic planning

Team leadership

Financial analysis

Resource planning

MS Office

Performance management

Education

Bachelor’s degree in business, finance or clinical field

Tools

MS Office (Word, Excel, Access)

Job description

Humana, Inc. is seeking a Director of Care Management to lead interdisciplinary teams responsible for care management and optimize member wellness.

The role focuses on guiding members toward resources, implementing programs, and driving strategic plans within a remote work setup in the contiguous US. The position demands substantial leadership experience, strong analytical skills, and a proven ability to manage complex care initiatives and performance metrics.