Population Health Strategy Lead

6 days ago


South Bend, Indiana, United States Humana Full time
Become a part of our caring community and help us put health first
 The Population Health Strategy Lead is responsible for improving the quality of care and outcomes while managing costs for our Michigan members. The Population Health Strategy Lead identifies health needs such as chronic diseases or disabilities, or the health needs of the underserved. Advise executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision; Uses independent judgment requiring analysis of variable factors and determining the best course of action.
  • Identify health needs such as chronic diseases or disabilities, or the health needs of the underserved and influence department's strategy.
  • Develop strategic design, operational implementation plan, and ongoing evaluation of population health initiatives based on a deep understanding of scientific population health principles.
  • Serve as the consultative subject matter expert and liaison to internal and external stakeholders on population health activities and established goals.
  • Provide insights required to improve coordination of care, access to care, member utilization of healthcare systems, and improve overall health outcomes.    
  • Collaborate with cross functional teams such as clinical, operational, and financial to support Medicaid-wide initiatives. ​

Use your skills to make an impact
 

Required Qualifications

  • Must reside in Michigan or within 40 miles of the border in Indiana or Ohio.
  • Bachelor's degree in nursing, social work, health services research, health policy, information technology or related field.
  • Minimum five (5) years of progressively responsible professional experience in population health, service coordination, ambulatory care, community public health, case or care management, or coordinating care across multiple settings and with multiple providers.
  • Experience working in Medicaid.
  • Proficiency in Microsoft applications including Word, Advanced Excel, and PowerPoint.
  • Ability to analyze data and make data-driven recommendations for quality improvement.
  • Excellent interpersonal skills; ability to develop effective relationships with a broad array of people internally and externally, including community partners.
  • Experience with program planning, implementation, and evaluation
  • Ability to take personal initiative and work independently, as well as part of a team.
  • Ability to meet deadlines in a complex and fast-paced environment.

Preferred Qualifications

  • Previous Managed Care experience.

Additional Information

  • Workstyle: This is a remote position with travel.
  • Typical Workdays and Hours: Monday - Friday; 8:00am - 5:00pm Eastern Standard Time (EST)
  • Travel: Up to 25% travel across Michigan to meet community partners, and various care teams. Occasional travel to Humana's Detroit office is also expected for training and team engagement meetings.

WAH Internet Statement

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Format

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$104,000 - $143,000 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.



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