Director, Care Management

This is a fully remote position, open to applicants in United States.

📋 Description

• Lead interdisciplinary care management teams that include nurses, social workers, and behavioral health professionals.

• Supervise the assessment and evaluation of members’ needs and requirements.

• Provide guidance to members and their families in accessing suitable care and wellbeing resources.

• Facilitate collaboration with both internal and external resources to address member care needs.

• Spearhead the implementation of new and revised programs as well as large-scale functional projects.

• Enhance and support technical and operational procedures and processes.

• Execute strategic plans and offer insights into functional strategy.

• Propel departmental goals and objectives aimed at improving performance and outcomes.

• Direct and lead teams within the health solutions sector.

• Analyze and interpret trends to aid in decision-making, program effectiveness, and operational enhancements.

• Utilize Microsoft Office applications, including Word, Excel, and Access, for reporting, analysis, and communication.

• Report directly to the Senior Vice President of Clinical Operations.

• Participate in the continuous improvement of consumer experiences.

⛳️ Requirements

• A minimum of 8 years of technical experience.

• At least 5 years of management experience, including 2 or more years in a leadership role.

• Bachelor’s degree in business, finance, or a clinical field.

• Prior experience in the health solutions industry with a proven track record of directing and leading teams.

• Proficiency in developing and executing specific, measurable goals focused on outcomes.

• Knowledge and experience in driving proactive performance management across a sizable team.

• Expertise in analyzing and interpreting financial trends.

• Experience in developing and implementing complex resource plans.

• Comprehensive proficiency in Microsoft Office applications, including Word, Excel, and Access.

• Typical business hours preferably aligned with CST or EST.

• Ability to work from a dedicated space without interruptions to safeguard member PHI/HIPAA information.

• Home internet service with a minimum download speed of 25 Mbps and upload speed of 10 Mbps.

• Master’s degree in Business Administration or a related field is preferred.

• RN state license in the relevant field is preferred.

🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance.

• Home or hybrid work arrangement.

• Occasional travel to Humana offices for training or meetings.