[Remote] Behavioral Health Executive Leader at Humana

Illinois, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Master’s degree in Social work, Counseling, Psychology, Public Health, Health Administration, Nursing or a related field
Active Illinois licensure as RN, LCSW, LCPC, LMFT, Licensed Clinical Psychologist, or equivalent
7+ years of leadership experience leading teams in operations within behavioral health, healthcare transformation, integrated care, or related disciplines
Experience working in a Managed Care Organization

Responsibilities

Directs the development of multi-year behavioral health strategy
Makes recommendations of strategic significance to executive leadership
Advises and guides multiple internal teams
Oversees design and execution of programs to improve access, quality, and coordination of behavioral health services
Provides strategic leadership in the operationalization of Illinois’ 1115 Medicaid Demonstration Waiver initiatives
Exercises executive oversight of Mobile Crisis Response and vendor management
Ensures compliance with regulatory, contractual, and accreditation requirements
Champions cross-functional and enterprise collaboration
Guides associates from foundational to complex project work
Contributes to the development of organizational principles and objectives
Monitors, analyzes, and interprets emerging behavioral health and health equity trends
Leads performance measurement and quality improvement efforts
Facilitates strategic advisory councils, learning collaboratives, and community forums

Skills

Behavioral Health Strategy

Strategic Planning

Healthcare Policy

Medicaid

Care Coordination

Trauma-Informed Care

Leadership

Stakeholder Engagement

Data Analysis

Innovation

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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