Director Population Health Strategy

Profile

Description

The Director, Population Health Strategy is responsible for improving the quality of care and outcomes while managing costs for a defined group of people. The Director, Population Health Strategy requires an in-depth understanding of how organization capabilities interrelate across the function or segment. Candidates must reside within the state of Ohio.

Responsibilities

Humana's Bold Goal is to improve the health of the communities we serve as evidenced by more healthy days. The Population Health Strategy Director identifies health needs such as chronic diseases or disabilities, or the health needs of the under-served and advises executives to develop functional strategies (often segment specific) that positively impact Social Determinants of Health (Food insecurity, Transportation and Housing challenges, Isolation, etc.) This leader will work collaboratively to deliver high-impact partnerships and programmatic strategy.

This is an exciting opportunity to develop, lead and implement comprehensive population health strategy and interventions in partnership with leadership and business units. Responsibilities include the following:


Oversee the MCO's strategic design, implementation, and evaluation of population health initiatives based on a deep understanding of scientific population health principles
Sponsor and champion MCO and system-wide initiatives, including cultivating the support necessary to achieve the desired operational objectives for each initiative
Liaison with ODM, the OhioRISE Plan, the SPBM, and other ODM-contracted MCOs on population health activities
Develop and implement operational plans that address the market opportunities/challenges and align with the established population health goals.
Build and maintaining sustainable strategic relationships with community partners, state agencies, and providers.
Lead a team of specialized professional associates focused on positively impacting Social Determinants of Health for Medicaid members in the community
Create evidence-based, scale-able and financially sustainable population health solutions.
Consult with Market's and all Humana Lines of Business to expand 'Bold Goal' population health strategies through plan operations
Success in this role will be based on the ability to work on multiple projects, influence without authority, pivot as priorities change and navigate ambiguity in a fast-paced environment.


Required Qualifications


Master's degree or other advanced degree in nursing, social work, health services research, health policy, information technology, or other relevant 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 and preferably in a managed care setting.
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 (different levels of management and clinical expertise)
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
Proficiency in Microsoft applications including Word, Advanced Excel, and PowerPoint
Must be passionate about contributing to an organization focused on continuously improving consumer experience


Preferred Qualifications


Experience or background in Epidemiology
CPHQ Certification


Additional Information

Travel - 25%

Scheduled Weekly Hours

40

Company info

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