Humana

Behavioral Health Executive Leader

Illinois, United States

Not SpecifiedCompensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries

Requirements

Candidates must possess a Master's degree in Social Work, Counseling, Psychology, Public Health, Health Administration, or a related field, along with active Illinois licensure as an LCSW, LCPC, LMFT, Licensed Clinical Psychologist, or equivalent. A minimum of 7 years of leadership experience in behavioral health operations, healthcare transformation, or integrated care is required, demonstrating the ability to lead large-scale, multi-stakeholder initiatives and influence senior executives with comprehensive expertise across multiple functions.

Responsibilities

The Behavioral Health Strategy Lead is responsible for defining, implementing, and advancing the strategic vision for behavioral health initiatives within Humana's Illinois health plan, collaborating with senior leadership to shape policies and guide innovation. This role involves overseeing the integration of behavioral and physical health services, advising on complex behavioral health matters, and directing the development of multi-year strategies, including Medicaid innovation and 1115 Waiver integration. Key duties include analyzing trends, advising internal teams on innovative care delivery models, serving as the principal behavioral health representative for Humana Illinois, and overseeing program design and execution to improve access, quality, and coordination of services. The position also involves providing strategic leadership for Illinois' 1115 Medicaid Demonstration Waiver initiatives, exercising executive oversight of Mobile Crisis Response and vendor management, and ensuring compliance with all regulatory, contractual, and accreditation requirements. Additionally, the role champions cross-functional collaboration, guides associates, contributes to organizational principles, monitors behavioral health trends, leads performance measurement and quality improvement efforts, and facilitates strategic advisory councils and community forums.

Skills

Behavioral Health Strategy
Medicaid Innovation
1115 Waiver Integration
CCBHC Expansion
Integrated Care
Trauma-Informed Care
Program Design
Program Execution
Analytic Thinking
Executive Leadership
Strategic Planning
Stakeholder Engagement

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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