Divisional Director of Care Management, Strategy & Ops

Welcome to Humana! We are a leading health and wellness company dedicated to helping people achieve their best health. We are currently seeking a highly experienced and dynamic Divisional Director of Care Management, Strategy & Ops to join our team and lead our care management division.As the Divisional Director, you will play a critical role in developing and implementing strategies to improve... the overall quality and effectiveness of our care management programs. You will also be responsible for overseeing the operational and financial performance of our care management division, ensuring that we are delivering the best possible care to our members while maintaining efficient and cost-effective processes.To excel in this role, you must have a strong background in healthcare management and a proven track record of successfully managing care management programs. You should also possess excellent leadership, communication, and analytical skills, as well as a deep understanding of healthcare regulations and industry trends.If you are passionate about making a positive impact on people's lives and have the skills and experience we are looking for, we invite you to join our team and help us fulfill our mission of making healthcare more accessible and effective for all.

Develop and implement strategies to improve the quality and effectiveness of our care management programs.
Oversee the operational and financial performance of the care management division.
Ensure that care management programs are in compliance with healthcare regulations and industry standards.
Lead a team of care management professionals and provide guidance and support to ensure their success.
Collaborate with other departments and stakeholders to identify opportunities for improvement and implement solutions.
Analyze data and metrics to monitor the performance of care management programs and make data-driven decisions.
Develop and manage budgets for the care management division, ensuring efficient and cost-effective operations.
Conduct regular performance evaluations and provide feedback and coaching to team members.
Stay updated on industry trends and best practices in care management to continuously improve our programs.
Represent the company in meetings and conferences related to care management and act as a subject-matter expert.
Foster a positive and inclusive work environment that promotes teamwork, accountability, and professional growth.
Ensure that all care management processes are aligned with the company's mission and values.
Communicate with executive leadership to provide updates on the division's performance and make recommendations for improvement.
Handle any escalated issues or complaints related to care management.
Collaborate with Human Resources to recruit, hire, and train new team members for the care management division.

Humana is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics