Humana

Director, Health Equity Strategy

Michigan, United States

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

Employment Type

Full time

Role Overview

Become a part of our caring community and help us put health first. The Director, Health Equity Strategy (Population Health Management Director) is responsible for setting directions and establishing strategies to advance equitable health outcomes for our Enrollees in Michigan. This role involves strategic design, implementation, and evaluation of population health initiatives, ensuring they align with scientific principles and support equitable, whole-person care for Enrollees. The Director Health Equity Strategy (Population Health Management Director) will champion system-wide initiatives and develop operational plans to address market opportunities and challenges. To achieve this, the Director, Health Equity Strategy (Population Health Management Director) will work with Providers and community-based organizations to improve health-related social needs (HRSNs) and health outcomes for our membership. The Director, Health Equity Strategy (Population Health Management Director) will also focus on fully integrating culturally informed strategies into the design and development of clinical and population health programs, services, and communication. They will work directly with the Michigan CEO and other functional area leaders to ensure alignment across the market.

Leadership and Strategy

  • Oversee the strategic design and implementation of population health initiatives.
  • Leads in developing and implementing strategic initiatives to support an organizational workforce and culture that is inclusive and respectful of the various backgrounds and cultures that are reflected in our Enrollees and communities we serve.
  • Provides leadership for community involvement and develop/foster alliances and partnerships to strengthen Humana Healthy Horizons in Michigan’s equity-centered population health approach.
  • Sponsors and champion initiatives to support equitable whole-person care.
  • Cultivate support necessary to achieve desired objectives for Enrollees' medical and non-medical needs.
  • Works with plan executive leadership and their teams to develop synergies around health equity related to emerging or current Michigan Department of Health and Human Services (MDHHS) and/or Medicaid priorities.
  • Influences external and internal audiences on critical population health and health equity issues.

Operational Management

  • Leads a team of professionals focused on community engagement, Enrollee education and advocacy, population health evaluation and analytics.
  • Creates and drives evidence-based, scalable and financially sustainable population health solutions.
  • Develop and implement operational plans that align with established population health goals.
  • Addresses market opportunities and challenges to serve the whole person.

Collaboration and Coordination

  • Coordinates with market-based and central stakeholders, including clinical, quality, and external parties on population health activities.
  • Ensures seamless integration of population health initiatives across various departments and stakeholders.
  • Drives strong relationships with communities we serve and community groups to identify racial, linguistic, gender and geographic health disparities, while developing and implementing strategies to increase equity for our Enrollees.
  • Listens to, and gives voice to, emergent issues of equity within the local health care community and the impacts on healthcare quality, health care cost and access to care for historically underserved communities.
  • Builds and maintains sustainable strategic relationships with community partners, state agencies, and providers.
  • Partner with clinical and community leaders to implement equity-focused community health strategies and initiatives that improve health outcomes.
  • Serves as a trusted thought partner in health equity with plan leadership, local communities and state agencies.

Evaluation and Improvement

  • Evaluates population health initiatives, either directly or in collaboration with the Quality Improvement and Utilization Di

Skills

Health Equity Strategy
Population Health Management
Strategic Design
Implementation
Evaluation
Culturally Informed Strategies
Community Partnerships
Stakeholder Engagement
Leadership
Program Development

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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