[Remote] Population Health Strategy Lead at Humana

Michigan, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor’s degree in nursing, social work, health services research, health policy, information technology or related field
Minimum five (5) years of progressively responsible professional experience in population health, service coordination, ambulatory care, community public health, case or care management, or coordinating care across multiple settings and with multiple providers
Experience working in Medicaid
Proficiency in Microsoft applications including Word, Advanced Excel, and PowerPoint
Ability to analyze data and make data-driven recommendations for quality improvement
Excellent interpersonal skills; ability to develop effective relationships with a broad array of people internally and externally, including community partners
Experience with program planning, implementation, and evaluation
Ability to take personal initiative and work independently, as well as part of a team
Ability to meet deadlines in a complex and fast-paced environment
Must reside in Michigan or within 40 miles of the border in Indiana or Ohio

Responsibilities

Improving the quality of care and outcomes while managing costs for Michigan members
Identifying health needs such as chronic diseases or disabilities, or the health needs of the underserved
Advising executives to develop functional strategies (often segment specific) on matters of significance
Exercising independent judgment and decision making on complex issues regarding job duties and related tasks and working under minimal supervision
Identifying health needs and influencing department’s strategy
Developing strategic design, operational implementation plan, and ongoing evaluation of population health initiatives based on a deep understanding of scientific population health principles
Serving as the consultative subject matter expert and liaison to internal and external stakeholders on population health activities and established goals
Providing insights required to improve coordination of care, access to care, member utilization of healthcare systems, and improve overall health outcomes
Collaborating with cross functional teams such as clinical, operational, and financial to support Medicaid-wide initiatives
Up to 25% travel across Michigan to meet community partners, and various care teams

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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