Population Health Management — Wellness and Prevention at Humana in Remote Nationwide

Job description

Become a part of our caring community The Medicaid Population Health Management Lead — Wellness and Prevention is an experienced healthcare strategist with broad Medicaid Managed Care expertise, deep working knowledge of wellness and prevention solutions, and has a proven track record of bringing new solutions to market. You will partner across multi-disciplinary teams at Humana to identify opportunities, develop strategy, and design scalable solutions that support improved health outcomes for vulnerable and underserved populations. As the Medicaid Population Health Management Lead – Wellness and Prevention, you will: Wellness and Prevention Strategy Develop strategies that help Medicaid members improve their health and well-being through prevention, access, engagement, and healthy behaviors. Apply member and population insights, quantitative and qualitative research, policy, and the competitive environment to identify opportunities and inform strategic direction. Shape and evolve a portfolio of wellness and prevention solutions aligned to member needs, Medicaid priorities, and business objectives, including differentiated solutions that support Medicaid growth. Translate complex population health opportunities into clear recommendations that balance member value, business value, feasibility, and scalability. Product Development and Innovation Lead assigned products and solutions from early discovery and concept development through design, validation, launch readiness, and ongoing evolution. Translate strategic priorities into clear product concepts, business cases, requirements, and measures of success. Use human-centered design, member research, and testing to develop solutions that are relevant and accessible to Medicaid populations. Assess existing capabilities, emerging approaches, and potential partnerships to determine the best path to meet identified needs. Partner with analytics to evaluate product performance and inform investment, improvement, expansion, or redesign.Mobilize multidisciplinary teams to advance products from strategy to implementation while keeping product intent and requirements clear. Culture and Approach Champion agile and customer-centric ways of working to design and develop meaningful experiences for Medicaid members. Bring structure to ambiguous problems, exercises independent judgment, and translates complex information into clear recommendations and decisions. Build collaborative relationships and engage diverse partners and subject matter experts to advance shared objectives. Apply product and project management practices, such as user research, concept testing, business cases, and journey mapping to set plans, milestones, dependencies, and accountability. Use your skills to make an impact Required Qualifications Bachelor's Degree in Business, Public Health, Healthcare Administration, or a related field. 5+ years of experience in health insurance, healthcare strategy, product or solution development, population health, wellness, or healthcare advisory services. 2+ years of healthcare experience focused on Medicaid populations. Working knowledge of Medicaid managed care programs, policy, covered services, and the needs of vulnerable and underserved populations. Experience developing healthcare products, programs, services, or member-facing solutions. Quantitative and qualitative analytical skills, with experience identifying trends and developing actionable recommendations and solutions based on customer value, business need, and feasibility. Demonstrated ability to lead cross-functional initiatives and work effectively with a variety of internal and external stakeholders. Preferred Qualifications Master's Degree in Public Health, Business, Healthcare Administration, or a related field. Experience with wellness, prevention, behavioral economics, health education, member engagement, incentives, digital health, or health behavior change. Experience supporting Medicaid business development or pr