Director, Health Solutions (Chronic Condition Management)

Humana

9d • $150,000 - $206,300 • Remote

About The Position

Humana Medicaid is seeking an experienced leader for its National Population Health Management Strategy Organization. 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 intended to improve outcomes for Medicaid members with chronic and complex conditions. The role uses population data, clinical evidence, member needs, and market priorities to lead a team in developing, evaluating, and improving condition management solutions. The Director sets investment priorities and success measures, and works across teams to scale solutions that respond to state and member needs. The position owns portfolio strategy and performance; operational teams implement and deliver the solutions.

The Director leads national portfolio strategy and a multi-year roadmap, develops business cases and investment recommendations, sets portfolio performance metrics, and drives continuous improvement. The role also supports Medicaid RFPs and growth initiatives and leads a high-performing team. This is a remote position with occasional travel and a flexible schedule aligned to the Eastern Time Zone. The role has leadership responsibility for up to 10 associates.

Requirements

• Bachelor's degree.
• Seven or more years of experience in healthcare strategy, population health strategy, clinical program strategy, or healthcare consulting, translating business and population needs into strategies and solutions.
• Five 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 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 investment recommendations.
• Experience leading cross-functional initiatives involving clinical, operational, analytical, financial, digital, product, or market stakeholders.
• Experience presenting strategic recommendations and business cases to senior executives or enterprise governance bodies.

Nice To Haves

• Master's degree in public health, healthcare administration, business administration, health informatics, clinical sciences, or a related field.
• Experience in a Medicaid managed care organization or state Medicaid agency with responsibility for population health strategy, chronic condition management, product development, clinical program design, or innovation.
• Experience developing and scaling products, programs, and benefits for Medicaid members across prevalent chronic conditions that contribute to avoidable utilization.
• Deep working knowledge of Medicaid managed care requirements, state procurement priorities, quality measures, health equity, and health-related social needs.

Responsibilities

• Lead 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 defining 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.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, company and personal holidays, and paid parental and caregiver leave.
• Short-term and long-term disability insurance.
• Life insurance.
• Bonus incentive plan based on company and/or individual performance.
• Other opportunities supporting personal wellness and healthcare decisions.

What This Job Offers

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