Divisional Director of Care Management, Strategy & Ops - West

Humana • Loveland, CO

285d • $150,000 - $206,300 • Onsite

About The Position

The Divisional Director is responsible for building a strong partnership with clinical-operational divisional dyads (Division CMO/Division Ops Leader) on care integration team foundational programs and future strategic opportunities for managing populations and coordinating care to reduce acute and post-acute care utilization. The Divisional Director role is a hybrid with travel requirements to facilitate and liaise relationships between market dyad leaders (i.e., Market CMO, Market President, RMDs) and CIT market managers and supervisors. The Divisional Director will also be a key consultant partner to market dyad leaders in understanding and creating solutions that will lead to acute and post-acute care utilization reductions aligned with the PCO's objectives and goals. As a guideline, this role involves spending 30% of the time on operational excellence and program implementation, 40% on relationships (vertically and horizontally), 20% on strategy, and 10% on career growth and development.

Requirements

• At least 5 years of Management experience required.
• 3-5 years of Director experience preferred.
• Current and unrestricted US medical or RN license.
• Excellent verbal and written communication skills.
• Experience in value-based care models (e.g. ACOs, capitation).
• Willingness to learn/adapt to value-based care settings.
• Familiarity with cost of specialty care and clinical outcomes measures.
• Basic computer skills, including email and EMR.

Nice To Haves

• A highly credible leader with deep understanding of clinician and patient pain points.
• Excellent communication skills, including executive presentations.
• Capable of developing and socializing a strategic plan.
• A passionate advocate for improving clinician and patient experience.

Responsibilities

• Build partnerships with clinical-operational divisional dyads.
• Manage care integration team foundational programs.
• Coordinate care to reduce acute and post-acute care utilization.
• Spend 30% of time on operational excellence and program implementation.
• Spend 40% of time on relationship management.
• Spend 20% of time on strategy development.
• Spend 10% of time on career growth and development.
• Develop and implement clinical program strategy.
• Assess CIT operations and clinical program performance.
• Prioritize work according to organizational goals.
• Drive CIT performance and build relationships with market dyads.
• Standardize processes and improve operating PMPM costs.
• Leverage technology and data for program performance management.

Benefits

• Medical, dental and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, including company and personal holidays.
• Volunteer time off.
• Paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree