Director, Population Health Strategy – Chronic Management

Position: Director, Population Health Strategy – Chronic Condition Management

Become a part of our caring community Humana Medicaid is looking for an experienced leader to join our National Population Health Management Strategy Organization. This role offers an opportunity to improve the health and well-being of Medicaid members by shaping the strategies, solutions, and capabilities that address significant chronic health challenges. We are building a team of strategic, curious, and result-oriented leaders who thrive in complex environments and are energized by solving meaningful healthcare challenges.

Our culture values innovation, accountability, collaboration, and continuous learning. We seek individuals who combine forward-looking strategy with disciplined execution and are motivated to build new capabilities, influence enterprise decisions, and make a lasting impact on the communities we serve.

Key Responsibilities

• Lead the 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 that define 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.
• Use your skills to make an impact.

Required Qualifications

• Bachelor's degree.
• Seven (7) or more years of experience in healthcare strategy, population health strategy, clinical program strategy, or healthcare consulting with responsibility for translating business and population needs into strategies and solutions.
• Five (5) 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 (3) 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.

Preferred Qualifications

• 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.

Additional Information

Travel: Up to 15%, including occasional travel, outside your state of residence for collaborative and team engagement meetings.

Work Schedule: Eastern Time Zone with a flexible schedule, including occasional nights and weekends, as business needs require.

Direct Reports: Leadership responsibility for up to 10 associates.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work…