Associate Director, Care Management

Humana • Chicago, IL

3d • $104,000 - $143,000 • Remote

About The Position

Oversee the assessment and evaluation of member's physical and behavioral health needs to achieve and maintain wellness by guiding members and their families/caregivers toward appropriate for the member's care and wellbeing. Guide the development, implementation, and evaluation of care management programs to align organizational goals and regulatory requirements. Lead multiple managers and highly specialized professional associates. Monitor data sharing among internal and external resources to ensure service integration, continuity of care, and contractual compliance, addressing challenges, risk, and opportunities. Facilitate communication and collaboration with internal and external stakeholders, including providers, payers, vendors, and regulatory agencies. Lead the preparation and presentation of program reports, using data analytics to monitor performance, identify trends, and recommend improvements. Champion initiatives for process improvement and innovation to advance care management practices and outcomes.

Requirements

• Bachelor's Degree
• Active Registered Nurse (RN) license or Social Work (SW) license
• Must be willing to travel into IL as needed for meetings, audits, or other departmental needs.
• 6 or more years of professional experience
• 2 or more years of previous formal leadership/management experience
• Proficiency in analyzing and interpreting data trends
• Progressive business consulting and/or operational leadership experience

Nice To Haves

• Advanced degree in nursing, health science, or business-related field
• Previous experience working in a managed care field
• 5 or more years of previous management/supervisor level experience

Responsibilities

• Oversee the assessment and evaluation of member's physical and behavioral health needs to achieve and maintain optimal wellness by guiding members and their families/caregivers toward appropriate for the member's care and wellbeing.
• Guide the development, implementation, and evaluation of care management programs to align organizational objectives and regulatory requirements.
• Lead multiple managers and highly specialized professional associates.
• Monitor data sharing among internal and external resources to ensure service integration, continuity of care, and contractual compliance, addressing challenges, risk, and opportunities.
• Facilitate effective communication and collaboration with internal and external stakeholders, including providers, payers, vendors, and regulatory agencies.
• Lead the preparation and presentation of program reports, utilizing data analytics to monitor performance, identify trends, and recommend improvements.
• Champion initiatives for process improvement and innovation to advance care management practices and outcomes.

Benefits

• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Manager