Remote Director of Care Management & Outcomes

Humana, Inc.; Annapolis (MD); Remote; USD 126,000 - 174,000; Full time

Job summary

Humana, Inc. is seeking a Director of Care Management to lead interdisciplinary teams and drive care management initiatives. The role focuses on assessing members’ needs, guiding families to resources, and coordinating care across internal and external partners.

A strong background in healthcare leadership and strategic program execution is required. The position is fully remote in the contiguous United States with occasional travel to Humana offices for training or meetings.

Qualifications

• Bachelor's degree in business, finance or clinical field.
• Master's degree in Business Administration or related field preferred.
• RN license in nursing field (state) preferred.
• Experience directing and leading teams in health solutions required.
• Proven ability to set and achieve measurable goals.
• Experience driving proactive performance management across large teams.
• Strong analytics for financial trends and outcomes.

Responsibilities

• Oversee assessment and evaluation of members' needs to achieve optimal wellness.
• Lead coordination with internal and external resources for member care needs.
• Drive implementation of new programs and large-scale projects.
• Improve procedures and processes within care management.
• Support and contribute to functional strategy and goals.
• Analyze trends to inform decisions and program effectiveness.
• Lead teams within the health solutions industry.

Skills

Leadership experience

Management experience

Healthcare industry experience

Strategic planning

Program implementation

Financial trend analysis

Resource planning

Communication skills

Data reporting

Team leadership

Education

Bachelor's degree in business/finance/clinical field

Master's Degree in Business Administration or related field

RN state license

Tools

Microsoft Word

Microsoft Excel

Microsoft Access

Job description

Humana, Inc. is seeking a Director of Care Management to lead interdisciplinary teams and drive care management initiatives. The role focuses on assessing members’ needs, guiding families to resources, and coordinating care across internal and external partners.

A strong background in healthcare leadership and strategic program execution is required. The position is fully remote in the contiguous United States with occasional travel to Humana offices for training or meetings.