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Humana

Director, Health Solutions – Chronic Condition Management

Humana

. Lead development and execution of the national Chronic Condition Management product strategy, portfolio, and multi-year roadmap .

Posted 10/28/2026full-timeRemote • United StatesLead💰 $150,000 - $206,300 per yearWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in healthcare strategy and product management, with a focus on developing and scaling solutions for chronic condition management. Proven ability to lead cross-functional teams and present strategic recommendations to senior executives while ensuring compliance with Medicaid requirements.

Highest-signal resume keywords
Healthcare StrategyPopulation Health SolutionsProduct ManagementPeople LeadershipBusiness Case Development

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Chronic Condition ManagementPortfolio DevelopmentPerformance MetricsInvestment StrategyClinical Program StrategyBusiness Case DevelopmentRoadmap DevelopmentQuality ImprovementUtilization Patterns AnalysisData-Driven Decision Making
Soft Skills
Team LeadershipStrategic CommunicationCross-Functional CollaborationPresentation SkillsContinuous Improvement Mindset
Certifications & Qualifications
Bachelor's DegreeMaster's Degree (Preferred)
Industry Keywords
Medicaid Managed CareHealthcare ConsultingHealth EquityQuality MeasuresHealth-Related Social Needs

About the role

Key responsibilities & impact
  • Lead development and execution of the national Chronic Condition Management product strategy, portfolio, and multi-year roadmap
  • Translate population insights, member needs, clinical evidence, quality gaps, utilization patterns, and market priorities into actionable product opportunities
  • Establish portfolio vision, strategic priorities, and investment strategy aligned with Medicaid and enterprise objectives
  • Develop business cases covering opportunities, solutions, expected outcomes, value propositions, implementation requirements, risks, and resource needs
  • Prioritize investments based on member impact, clinical opportunity, affordability, quality improvement, scalability, organizational readiness, and business value
  • Ensure solutions are designed for national scale while adapting to state requirements, market needs, and member populations
  • Establish portfolio performance metrics, monitor outcomes, identify gaps, and drive continuous improvement
  • Support Medicaid RFPs and growth initiatives through solution design, proposal content, and oral presentations
  • Build, develop, and lead a high-performing team specializing in healthcare strategy, population health, product management, and portfolio development
  • Own portfolio strategy and performance while operational teams implement and deliver solutions
  • Lead up to 10 direct reports

Requirements

What you’ll need
  • Bachelor's degree
  • 7 or more years of experience in healthcare strategy, population health strategy, clinical program strategy, or healthcare consulting
  • 5 or more years of experience developing and scaling healthcare products, clinical programs, or population health solutions
  • 3 or more years of formal people-leadership experience
  • Experience using clinical evidence, population data, utilization patterns, quality measures, or medical-cost information to inform solution design and performance decisions
  • Experience developing product or portfolio strategies, multi-year roadmaps, business cases, performance frameworks, and investment recommendations
  • Experience leading cross-functional initiatives involving clinical, operational, analytical, financial, digital, product, or market stakeholders
  • Experience presenting strategic recommendations and business cases to senior executives or enterprise governance bodies
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
  • Self-provided internet service with minimum download speed of 25 Mbps and upload speed of 10 Mbps
  • Ability to work Eastern Time Zone with occasional nights and weekends as business needs require
  • Preferred: Master's degree in public health, healthcare administration, business administration, health informatics, clinical sciences, or a related field
  • Preferred: Experience in a Medicaid managed care organization or state Medicaid agency
  • Preferred: Experience developing and scaling products, programs, and benefits for Medicaid members across prevalent chronic conditions
  • Preferred: Deep working knowledge of Medicaid managed care requirements, state procurement priorities, quality measures, health equity, and health-related social needs

Benefits

Comp & perks
  • Bonus incentive plan based on company and/or individual performance
  • Medical, dental, and vision benefits
  • 401(k) retirement savings plan
  • Paid time off
  • Company and personal holidays
  • Paid parental and caregiver leave
  • Short-term and long-term disability
  • Life insurance
  • Personal wellness and smart healthcare decision support
  • Remote work arrangement
  • Flexible schedule
  • Occasional travel to Humana offices for training or meetings