[Remote] Behavioral Health Strategy Lead at Humana

Illinois, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

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Requirements

Licensed Mental Health Professional with one of the following licenses: Licensed Masters Clinical Social Worker (LCSW/LMSW) OR Licensed Professional Counselor (LPC), Licensed Social Worker (LSW) OR Licensed Marriage and Family Therapist (LMFT) OR Licensed Addiction Counselor (LAC)
Demonstrated experience with large Care Management and Behavioral Health implementation
Masters degree in counseling, social work or other social related field
5 years of experience in behavioral health, healthcare transformation, integrated care, or related disciplines
Intermediate to advance proficiency in Microsoft Office specifically, Outlook, PowerPoint, Word and Excel
Demonstrated ability to run large scale, highly visible programs with responsibility for multiple teams
Experience in problem solving and consultation within complex environments

Responsibilities

Directs the development of multi-year behavioral health strategy, working closely with senior executives and advising functional areas on high-impact initiatives, including Medicaid innovation, and CCBHC expansion
Makes recommendations of strategic significance to executive leadership by analyzing complex trends, devising new methods, and influencing decisions with broad organizational impact
Advises and guides multiple internal teams, providing advanced subject matter expertise and leading the implementation of innovative models for integrated and trauma-informed care
Serves as behavioral health representative for Humana Illinois, routinely engaging with executive sponsors, state agencies, CCBHCs, and community leaders to drive collaborative, sustainable change
Oversees design and execution of programs to improve access, quality, and coordination of behavioral health services, utilizing strong analytic thinking to develop and refine new procedures and interventions
Exercises executive oversight of Mobile Crisis Response and vendor management, developing novel solutions and ensuring compliance with state and federal regulations
Ensures that all behavioral health operations not only meet, but exceed, regulatory, contractual, and accreditation requirements, supporting a culture of continuous improvement and compliance across the organization
Champions cross-functional and enterprise collaboration, influencing key outcomes in quality, provider relations, population health, and community engagement
Guides associates from foundational to complex project work, fostering knowledge growth and supporting high-performing, interdepartmental teams
Contributes to the development of organizational principles and objectives, utilizing unique expertise and inductive reasoning to achieve goals creatively and efficiently
Monitors, analyzes, and interprets emerging behavioral health and health equity trends, providing strategic advice to senior executives and recommending transformative opportunities across the enterprise
Leads performance measurement and quality improvement efforts, sponsoring data-driven decision-making around network adequacy, utilization, member outcomes, and health equity objectives
Facilitates strategic advisory councils, learning collaboratives, and community forums, establishing Humana as a trusted partner in behavioral health innovation

Skills

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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