Director, Population Health Strategy – Chronic Condition Management

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

📋 Description

• Take charge of the strategy, development, and success of a nationwide portfolio of Medicaid chronic and complex condition products, programs, benefits, partnerships, and care models.

• Direct the creation and implementation of the national Chronic Condition Management product strategy, portfolio, and multi-year roadmap.

• Convert population insights, member requirements, clinical evidence, quality deficiencies, utilization trends, and market priorities into actionable product opportunities.

• Define the portfolio vision, strategic priorities, and investment strategy in alignment with Medicaid and enterprise objectives.

• Create business cases that outline opportunities, solutions, anticipated outcomes, value propositions, implementation necessities, risks, and resource requirements.

• Prioritize investments based on member impact, clinical potential, affordability, quality enhancement, scalability, organizational readiness, and business value.

• Ensure solutions are crafted for national scalability while accommodating state requirements, market demands, and member demographics.

• Set portfolio performance metrics, track outcomes, identify gaps, and promote continuous improvement.

• Assist with Medicaid RFPs and growth initiatives by designing solutions, developing proposal content, and delivering oral presentations.

• Assemble, nurture, and lead a high-performing team across healthcare strategy, population health, product management, and portfolio development.

• Determine investment priorities and success criteria while operational teams execute and deliver solutions.

• Supervise up to 10 direct reports.

• Travel occasionally, which may include up to 15% travel outside the state of residence for meetings, training, and team engagement.

⛳️ Requirements

• A bachelor's degree.

• Seven (7) or more years of experience in healthcare strategy, population health strategy, clinical program strategy, or healthcare consulting, translating business and population needs into effective strategies and solutions.

• Five (5) or more years of experience in developing and scaling healthcare products, clinical programs, or population health solutions from strategy and design to evaluation and growth.

• Three (3) or more years of formal leadership experience, including responsibility for team performance and talent development.

• Proficient in using clinical evidence, population data, utilization patterns, quality measures, or medical-cost information to inform solution design and performance decisions.

• Experience in developing product or portfolio strategies, multi-year roadmaps, business cases, performance frameworks, and investment recommendations.

• Proven track record in leading cross-functional initiatives involving clinical, operational, analytical, financial, digital, product, or market stakeholders.

• Experience in presenting strategic recommendations and business cases to senior executives or enterprise governance bodies.

• Ability to work from a designated space without ongoing interruptions to protect member PHI/HIPAA information.

• Internet service with a minimum download speed of 25 Mbps and an upload speed of 10 Mbps.

• Capability to work in the Eastern Time Zone with a flexible schedule, including occasional nights and weekends as business needs arise.

• Preferred: Master's degree in public health, healthcare administration, business administration, health informatics, clinical sciences, or a related field.

• Preferred: Experience in a Medicaid managed care organization or state Medicaid agency.

• Preferred: Experience in developing and scaling products, programs, and benefits for Medicaid members with prevalent chronic conditions.

• Preferred: Extensive working knowledge of Medicaid managed care requirements, state procurement priorities, quality measures, health equity, and health-related social needs.

🏝️ Benefits

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

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability.

• Long-term disability.

• Life insurance.

• Personal wellness support.

• Flexible schedule.

• Remote work arrangement.

• Training and collaborative/team engagement opportunities.