Become a part of our caring community and help us put health first
The Senior Behavioral Health Strategy Professional supports the defining, implementing, and advancing the strategic vision of behavioral health, mental health, and addiction initiatives across the Humana's Virginia health plan. You will collaborate with leadership to shape segment and enterprise- wide policies, guides, innovation, and oversees the integration behavioral health across all populations. The Senior Behavioral Health Strategy Professional helps influence enterprise and market outcomes, developing new approaches to care delivery, and serves as the behavioral health subject matter expert within interdepartmental initiatives. The Senior Behavioral Health Strategy Professional's work assignments involve moderately complex to complex issues where the analysis of situations and data requires an in-depth evaluation of variable factors. You will ensure that all programs align with organizational goals and regulatory requirements, supports cost reduction efforts, and maintains high standards of quality care. The BH Strategy Professional collaborates with internal teams, external partners, and leadership to drive innovation, improve access, and optimize outcomes for behavioral health services.
Key Duties and Responsibilities:
- Develop and execute multi-year behavioral health strategies, including annual action plans and measurable goals.
- Identify, prioritize, and advance new behavioral health initiatives to address gaps in care, member needs, and regulatory requirements.
- Strong Knowledge of Virginia Medicaid, DMAS, BH, and SUD Services: Demonstrates strong familiarity with DMAS, BH service delivery, regulations, and community resources.
- Establish and maintain partnerships with community organizations, provider networks, and state agencies to enhance service delivery and access.
- Represent Humana Behavioral Health at community events, forums, and collaborative workgroups.
- Support behavioral health managers in preparing and submitting regulatory reports, including those related to Foster Care, Behavioral Health Crisis, and accreditation requirements.
- Ensure all programs and initiatives meet state and federal compliance standards.
- Identify and lead cost reduction strategies within behavioral health programs, including process improvement and resource optimization.
- Develop and maintain tracking systems and methodologies for behavioral health initiatives, including data collection on outcome measures and program effectiveness.
- Be a subject matter expert on behavioral health topics for internal teams, providing guidance on strategy, best practices, and policy interpretation related to behavioral health and substance use interventions.
- Lead internal policy and procedure updates related to behavioral health operations.
- Work with leadership to design and implement specialized behavioral health programs.
- Collaborate with the quality team to design interventions, measure, and report on outcome metrics for BH HEDIS and PWP measures.
- Travel to and participate in provider and community events to promote Humana's behavioral health initiatives and foster community and provider partnership; working closely with Human's Population Health team.
Use your skills to make an impact
Required Qualifications:
- Master's degree in counseling, social work, or a related field.
- 5 years of experience in behavioral health, healthcare transformation, integrated care, or related disciplines.
- Demonstrated experience in care management and behavioral health program implementation.
- Proficiency in Microsoft Office (Outlook, PowerPoint, Word, Excel).
- Strong problem-solving, process improvement, and influencing skills.
- Effective communication skills with ability to deliver presentations to senior leaders.
- Willingness to travel statewide up to 35%.
- Must reside in Virginia
Preferred Qualifications
- Licensed Mental Health Professional with one of the following licenses: Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC),), Licensed Marriage and Family Therapist (LMFT), or Licensed Addiction Counselor (LAC).
- Project Management and program development skill
WAH Internet Statement
- 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 suggested.
- Satellite, cellular and microwave connection can be used only if approved by leadership.
- 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.
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.
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.
$71,100 - $97,800 per year
This 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.
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.
