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The Behavioral Health Population Health Lead provides strategic direction to identify and address business issues and opportunities, specifically related to strategic initiatives. The role provides subject matter expertise and strategic planning support, working across multiple business segments.
As the Behavioral Health Population Lead, you will be accountable for leading and coordinating the strategy and execution of initiatives, innovations and/or priorities. Working closely with National and Market leaders, you have accountability from design to delivery of fully developed integrated experiences that meet the needs of the member and stakeholders. The ideal candidate has experience launching clinical products and/or designing integrated product experiences and leading or coordinating work across cross-functional teams to create meaningful behavioral health care experiences. If you thrive in a fast-paced environment and are known for your incredible leadership, and execution skills, we can’t wait to meet you.
This role will work cross-functionally with Humana clinical teams (e.g., Medical, Nursing, Pharmacy, Social Work) and business units (e.g., Clinical Ops, Product, Market) and with external strategic partners to establish and support strategic partnerships.
Responsibilities:
- Monitors performance and recommends enhancements, gaps, cost of care opportunities or strategic partnerships
- Partner closely with a team to execute strategic initiatives and/or relationships.
- Work internally to develop and manage governance processes and to co-create and execute strategies for clinical partnerships
- Identify strategic priorities and work to implement those strategies with the appropriate internal and external partners across multiple business segments, academic partners, and external partners
- Define and work with appropriate professionals to conduct research projects that result in quantifiable health outcomes improvement
- Develop key metrics and report on those metrics to senior executives internally and with strategic partners externally
- Collaborate with data teams to establish appropriate protocols for leveraging Humana’s data assets with strategic partners for outcome metrics
- Build processes to integrate Humana learning practices with internal operational partners as we co-develop curriculum and create education/training opportunities
- Build positive relationships to achieve strong, sustainable results for Humana, our partners, and the people we serve
- Work with internal and external partners to establish shared goals and key metrics for monitoring
- This role requires 30-35% travel to market areas
Use your skills to make an impact
Required Qualifications
- Bachelor's degree Behavioral Health Related Field
- 5+ years’ experience in behavioral health or addiction
- 2+ years of direct care experience in an acute or outpatient behavioral health setting
- Demonstrated ability to work with senior executives across multiple functions
- Managed Care Experience
- Understanding of integrated care delivery and how to bring diverse aspects of the care system into a holistic model to make it easy for people to achieve their best health
- Exceptional communication skills and strong presence, with the ability to influence without authority
- Ability to travel 30-35% to Market offices for meetings.
Preferred Qualifications
- Experience serving Medicaid, TANF, CHIP and DSNP populations.
- Prior experience in the health and well-being industry
- Knowledge of clinical education models and inter-professional education
- An active, unrestricted Licensed Masters Clinical Social Worker (LCSW), OR
- Licensed Professional Clinical Counselor (LPCC) OR
- Licensed Marriage Family Therapist (LMFT) OR
- Licensed Addiction Counselors (LACs) OR
- Active, unrestricted Registered Nurse (RN) license with at least 3 years of experience in behavioral health.
Additional Information
Work-At-Home Requirements
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is required.
- Satellite, cellular and microwave connection can be used only if approved by leadership.
- Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Additional Information
Interview Format
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
SSN Alert:
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Travel: While this is a remote position, occasional travel to
Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$104,000 - $143,000 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 06-16-2025
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Originally posted on Himalayas
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