Associate Director, Care Mgt

Become a part of our caring community and help us put health first

Humana Gold Plus Integrated is seeking an Associate Director of Care Management Support who directs and implements system of care supports for Medicareeligible adults with complex social needs in Illinois. This role focuses on building and sustaining a coordinated network of nonclinical services including peer support, community health workers (CHWs), housing navigation, and other communitybased resources to improve quality of life, independence, and health equity.

The Associate Director plays a key role in integrating care management extenders into a personcentered model that addresses social determinants of health through traumainformed, culturally responsive, and collaborative approaches. This position supports the development of workflows, partnerships, and training that enable care teams to connect members with the right resources at the right time, ensuring social needs are addressed as part of wholeperson care.

The Associate Director of Care Management Support roles and responsibilities include:

• Lead the development of a care management model that leverages extenders (e.g., CHWs, peer supports, housing advocates) to address social determinants of health for Medicareeligible adults.
• Collaborate with internal teams and external partners to ensure seamless integration of nonclinical supports into care planning and service delivery.
• Build and maintain partnerships with communitybased organizations, aging services, housing providers, and public agencies.
• Promote culturally responsive, traumainformed, and personcentered approaches across all care management activities.
• Monitor program performance and use data to evaluate impact, identify gaps, and drive continuous improvement.
• Develop and maintain policies and procedures that support consistent, highquality service delivery across the system of care.
• Support training and capacitybuilding efforts for care management extenders, including CHWs and peer specialists.
• Participate in strategic planning and contribute to the organization’s mission of advancing health equity and reducing disparities.
• Assist in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Represent the care management program in collaborative initiatives, advisory groups, and community forums.
• Assure compliance with the required standards as identified contract, state requirementsfederal regulations.
• Achieve yearly financial objectives through planning, directing, controlling, implementing evaluating, monitoring, and forecasting as needed to achieve budgets and cost of operations.
• Conceive, research, plan, target, and control reductions in cost on existing product lines.
• Work collaboratively and assist in coordinating effort between support departments within the organization.
• Create a productive department through written and verbal communication.
• Coordinate needed support to operations areas through smooth workflow and cost efficient, quality product delivery.
• Continuously improve customer satisfaction through effective program monitoring to achieve timely and appropriate service delivery and reduced member problems.
• Participate as a member of the management team in promoting Humana’s mission for strategic growth and development.
• Represent the care management program in collaborative initiatives, advisory groups, and community forums.
• Assist in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Attend meetings as requested.
• Fully participate in Humana’s Compliance Program, including compliance with Humana’s Code of Conduct, policies and procedures, and all applicable Privacy and Security laws.

• 
  Use your skills to make an impact
  

  Required Qualifications

  • Must live in the State of Illinois. This is a Hybrid Home position with up to a 35% travel requirement within the state.
  • Bachelor’s degree in Social Work, Public Health, Human Services, or related field.
  • 6+ years of professional experience, including experience in Medicare, aging services, or communitybased care.
  • 2+ years of management or supervisory experience.
  • Strong understanding of care management models and the role of extenders in addressing social needs.
  • Demonstrated ability to lead crossfunctional initiatives and collaborate with external partners.
  • Strong, demonstrated communication, analytical, problem solving and team playing skills.
  • Ability to operate independently and in a team environment.
  • Progressive business consulting andor operational leadership experience.
  • Knowledge of MedicaidMedicare, and longterm care guidelines, benefits and policies and procedures.
  • Working knowledge of MIS systems to improve operational deficiencies.
  • Intermediate to advanced computer skills and knowledge of Microsoft Suite applications, specifically Outlook, Word, Excel, and PowerPoint.
  • Experience with data analysis, understanding, communicating, and reporting on operational trends and gaps.
  • This role is a part of Humana’s Driver Safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100,000300,000100,000 limits.

  • Preferred Qualifications

    • Advanced degree in a related field.
    • 3+ years of experience working with social determinants of health.
    • Experience managing or collaborating with community health workers, peer support, or housing programs.
    • Familiarity with Illinois Medicaid policies and systems.

    • Work at Home Requirements

      • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
      • Satellite, cellular and microwave connection can be used only if approved by leadership.
      • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a biweekly payment for their internet expense.
      • Humana will provide Home or Hybrid HomeOffice associates with telephone equipment appropriate to meet the business requirements for their positionjob.
      • Work from a dedicated space lacking ongoing interruptions to protect member PHI HIPAA information.

      • Additional Information

        • Direct Reports: Up to 10 associates.
        • Workstyle: Hybrid Home; must live in the State of Illinois.
        • Travel: Up to 35% within the state of Illinois.
        • Core Workdays & Hours: Typically, 85 pm Monday – Friday Central Standard Time (CST) with flexible scheduling (i.e. occasional nights and weekends).
        • Benefits: Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more.....

        • Interview Format

          As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a thirdparty vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decisionmaking.

          If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a prerecorded Voice Interview andor an SMS Text Messaging interview. If participating in a prerecorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 1015 minutes.

          If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 510 minutes. Your recorded interview(s) via text andor prerecorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

          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.

          
          

          $104,400 $143,600 per year

          
          

          This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company andor individual performance.

          Description of Benefits

          Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support wholeperson wellbeing. 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), shortterm and longterm disability, life insurance and many other opportunities.

          
          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.

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          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.