Associate Director, Care Management

The Associate Director, Care Management will oversee Humana's Long-Term Services and Supports (LTSS) care management and contractual performance for the Michigan Medicaid program, ensuring effective resource utilization and achievement of population health goals. This role involves leading the development and operationalization of LTSS care management strategies, including education, utilization management, and quality improvement. Responsibilities include developing, implementing, and analyzing LTSS programs to enhance enrollee health and quality of life, ensuring adherence to best practices and NCQA standards, and managing the LTSS Clinical Strategy for the Michigan Department of Health and Human Services. The position requires promoting person-centered thinking, overseeing data sharing for whole-person care, and collaborating with various directors and external agencies to ensure quality of care and service integration. Additionally, the role involves developing operational plans to improve LTSS access and utilization, assessing enrollee needs, making strategic decisions for program implementation, building and maintaining effective teams, and ensuring compliance with all state and federal regulations, contract requirements, and Humana policies.