Director, Health Solutions (Chronic Condition Management) at Humana in Remote Nationwide

Job description

Become a part of our caring community Humana Medicaid is looking for an experienced leader to join our National Population Health Management Strategy Organization. This role offers an opportunity to improve the health and well-being of Medicaid members by shaping the strategies, solutions, and capabilities that address significant chronic health challenges. We are building a team of strategic, curious, and result-oriented leaders who thrive in complex environments and are energized by solving meaningful healthcare challenges. Our culture values innovation, accountability, collaboration, and continuous learning. We seek individuals who combine forward-looking strategy with disciplined execution and are motivated to build new capabilities, influence enterprise decisions, and make a lasting impact on the communities we serve. The Director, Health Solutions – Chronic Condition Management (Director, Population Health Strategy) owns the strategy, development, and performance of a national portfolio of products, programs, benefits, partnerships, and care models that improve outcomes for Medicaid members with chronic and complex conditions. Using population data, clinical evidence, member needs, and market priorities, the Director, Health Solutions – Chronic Condition Management (Director, Population Health Strategy) leads a team that develops, evaluates, and improves condition management solutions. The Director, Health Solutions – Chronic Condition Management (Director, Population Health Strategy) sets investment priorities and measures of success and works across teams to scale solutions responsive to state and member needs. You will own portfolio strategy and performance, while operational teams implement and deliver the solutions. Key Responsibilities Lead the development and execution of the national Chronic Condition Management product strategy, portfolio, and multi-year roadmap. Translate population insights, member needs, clinical evidence, quality gaps, utilization patterns, and market priorities into actionable product opportunities. Establish the portfolio vision, strategic priorities, and investment strategy in alignment with Medicaid and enterprise objectives. Develop business cases that define the opportunity, solution, expected outcomes, value proposition, implementation requirements, risks, and resource needs. Prioritize investments based on member impact, clinical opportunity, affordability, quality improvement, scalability, organizational readiness, and business value. Ensure solutions are designed for national scale while allowing appropriate adaptation to state requirements, market needs, and member populations. Establish portfolio performance metrics, monitor outcomes, identify gaps, and drive continuous improvement. Support Medicaid RFPs and other growth initiatives by contributing to solution design, proposal content, and oral presentations. Build, develop, and lead a high-performing team with expertise in healthcare strategy, population health, product management, and portfolio development. Use your skills to make an impact Required Qualifications Bachelor's degree. Seven (7) or more years of experience in healthcare strategy, population health strategy, clinical program strategy, or healthcare consulting with responsibility for translating business and population needs into strategies and solutions. Five (5) or more years of experience developing and scaling healthcare products, clinical programs, or population health solutions, from strategy and design through evaluation and growth. Three (3) or more years of formal people-leadership experience, including responsibility for team performance and talent development. Experience using clinical evidence, population data, utilization patterns, quality measures, or medical-cost information to inform solution design and performance decisions. Experience developing product or portfolio strategies, multi-year roadmaps, business cases, performance frameworks, and invest