Full-Time

Behavioral Health Executive Leader

Posted on 10/3/2025

Humana

Humana

10,001+ employees

Medicare Advantage health insurer for seniors

Compensation Overview

$115.2k - $158.4k/yr

+ Bonus

Illinois, USA

Hybrid

Requires residence in Illinois; occasional travel to Humana offices for training/meetings (up to 35%). Remote work with occasional on-site obligations.

Category
Business & Strategy (3)
, ,
Required Skills
Word/Pages/Docs
Excel/Numbers/Sheets
Requirements
  • Master’s degree in: Social work, Counseling, Psychology, Public Health, Health Administration, Nursing or a related field.
  • Active Illinois licensure as RN, LCSW, LCPC, LMFT, Licensed Clinical Psychologist, or equivalent.
  • 7+ years of leadership experience leading teams in operations within behavioral health, healthcare transformation, integrated care, or related disciplines.
  • Experience working in a Managed Care Organization
  • Demonstrated ability to lead large-scale, multi-stakeholder initiatives and influence senior executives, with comprehensive expertise across multiple functional areas.
  • Deep knowledge of Illinois’ behavioral health landscape, Medicaid managed care, CCBHC models, 1115 Waiver programs, and Mobile Crisis Response.
  • Proven ability in strategic planning, analytic thinking, performance management, and regulatory compliance.
  • Outstanding communication, negotiation, and presentation skills, with proven effectiveness at the executive level.
  • Proficiency in Microsoft Office Suite (Excel, Word, Outlook).
  • Must reside and perform work in the state of Illinois and report to the Market office as needed for training/meetings
  • Must possess a valid Illinois driver’s license and willingness to travel statewide up to 35%.
Responsibilities
  • Directs the development of multi-year behavioral health strategy, working closely with senior executives and advising functional areas on high-impact initiatives, including Medicaid innovation, 1115 Waiver integration, and CCBHC expansion.
  • Makes recommendations of strategic significance to executive leadership by analyzing complex trends, devising new methods, and influencing decisions with broad organizational impact.
  • Advises and guides multiple internal teams, providing advanced subject matter expertise and leading the implementation of innovative models for integrated and trauma-informed care.
  • Serves as the principal behavioral health representative for Humana Illinois, routinely engaging with executive sponsors, state agencies, CCBHCs, and community leaders to drive collaborative, sustainable change.
  • Oversees design and execution of programs to improve access, quality, and coordination of behavioral health services, utilizing strong analytic thinking to develop and refine new procedures and interventions.
  • Provides strategic leadership in the operationalization of Illinois’ 1115 Medicaid Demonstration Waiver initiatives, ensuring alignment with enterprise goals in care integration and health equity.
  • Exercises executive oversight of Mobile Crisis Response and vendor management, developing novel solutions and ensuring compliance with state and federal regulations.
  • Ensures that all behavioral health operations not only meet, but exceed, regulatory, contractual, and accreditation requirements, supporting a culture of continuous improvement and compliance across the organization.
  • Champions cross-functional and enterprise collaboration, influencing key outcomes in quality, provider relations, population health, and community engagement.
  • Guides associates from foundational to complex project work, fostering knowledge growth and supporting high-performing, interdepartmental teams.
  • Contributes to the development of organizational principles and objectives, utilizing unique expertise and inductive reasoning to achieve goals creatively and efficiently.
  • Monitors, analyzes, and interprets emerging behavioral health and health equity trends, providing strategic advice to senior executives and recommending transformative opportunities across the enterprise.
  • Leads performance measurement and quality improvement efforts, sponsoring data-driven decision-making around network adequacy, utilization, member outcomes, and health equity objectives.
  • Facilitates strategic advisory councils, learning collaboratives, and community forums, establishing Humana as a trusted partner in behavioral health innovation.
Desired Qualifications
  • Experience in collaboration with Illinois agencies, CCBHCs, CBOs, FQHCs, behavioral health vendors, and provider networks.
  • Subject matter expertise in value-based payment, health equity, and behavioral health integration.
  • Accomplished facilitator of strategic coalitions, advisory groups, and provider collaboratives.

Humana focuses on health and well-being by offering Medicare Advantage plans (HMO, PPO, and PFFS) mainly for seniors, military personnel, and communities. Its products are health insurance plans funded through a mix of government contracts and member premiums, enrolling members to provide comprehensive coverage with flexible benefits and a broad provider network. Members receive care through a network of providers, with additional services such as free language interpretation to improve accessibility. Humana differentiates itself through its emphasis on inclusivity, accessibility, and tailored benefits, aiming to deliver reliable service and high renewal rates. The goal is to improve health outcomes and overall well-being for members by delivering coverage that meets diverse needs and making care accessible to all.

Company Size

10,001+

Company Stage

IPO

Headquarters

Louisville, Kentucky

Founded

1961

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Simplify's Take

What believers are saying

  • Medicare Advantage membership grew 25% to 7.1 million in Q1 2026.
  • CenterWell added 110,500 patients sequentially via MaxHealth acquisition.
  • Cost Plus Drugs partnership automates prescriptions through SwiftyRx AI.

What critics are saying

  • Star Ratings drop to 20% in 4+ plans erodes $3.5 billion bonuses in 2026.
  • 89.4% benefit ratio from coding changes compresses margins below $9 EPS.
  • UnitedHealthcare's 77% 4+ star plans capture Humana's enrollees in 2026.

What makes Humana unique

  • Humana leads with 13.4% market share in Vision Insurance.
  • CenterWell integrates senior primary care and pharmacies for Medicare members.
  • b.well platform enables real-time health data from 2.4 million providers.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Unlimited Paid Time Off

Paid Vacation

Paid Parental Leave

Short-term Disability

Long-term Disability

401(k) Retirement Plan

401(k) Company Match

Wellness Program

Company News

Yahoo Finance
Apr 12th, 2026
Humana appoints healthcare investment expert to board as shares trade 80% below fair value

Humana has appointed Robert S. Field to its Board of Directors, adding healthcare investment and regulatory expertise to its governance structure. The appointment follows direct shareholder input and comes as the health insurer faces valuation scrutiny. Field's background in healthcare investments and legal matters positions him to contribute to discussions on payment models, technology adoption and risk oversight. The addition may influence Humana's priorities across growth initiatives and regulatory engagement. Humana's shares currently trade at $192.15, reflecting a 16.2% gain over the past month but a 33.8% decline over the past year. The stock trades at a price-to-earnings ratio of 19.4, below the healthcare industry average of 22.0. Analysts have set a target price of $212.08, approximately 9% above current levels.

Business Wire
Apr 9th, 2026
Humana goes live with b.well to enable real-time health data access across providers and health plans

Humana has launched a partnership with b.well Connected Health to enable members to securely access and share their health data across providers, pharmacies and health plans. The collaboration supports Humana's commitment to the CMS Health Technology Ecosystem. Through b.well's national health data network, Humana members can connect data from 2.4 million providers and 350 health plans in one place. The platform uses a 13-step data refinery process to normalise and enrich fragmented data into complete longitudinal health records. The partnership allows Humana to access member data in real-time during claims processing and respond to data requests from providers, supporting care coordination and quality improvement. The initiative aims to reduce administrative burden whilst giving individuals greater control over their health information.

Yahoo Finance
Mar 12th, 2026
Humana revenue beats at $32.6B as health insurers face tougher Q4 quarter

Clover Health posted the strongest Q4 results among health insurance providers, reporting revenues of $487.7 million, up 44.7% year on year and beating analyst expectations by 4.4%. The company delivered a solid quarter with revenue outperformance and EPS in line with estimates. The 12 health insurance providers stocks tracked reported a slower Q4 overall. As a group, revenues beat consensus estimates by 0.8%, whilst next quarter's revenue guidance was in line. Share prices have struggled, down 8.4% on average since latest results. Humana reported revenues of $32.64 billion, up 11.8% year on year, exceeding expectations by 1.8%. However, the company missed full-year EPS guidance estimates significantly. The stock has fallen 3.9% since reporting. The health insurance sector faces regulatory scrutiny and rising medical costs alongside opportunities from an ageing population and data analytics advancements.

Yahoo Finance
Feb 26th, 2026
UnitedHealth vs. Humana: Which healthcare stock offers more upside amid Medicare Advantage growth?

UnitedHealth and Humana, two major US managed care providers, face evolving healthcare landscapes shaped by rising medical costs and changing government programmes. Both have significant Medicare Advantage exposure but differ in business models. UnitedHealth, valued at $248.2 billion, operates a diversified structure combining UnitedHealthcare insurance with Optum health services. Fourth-quarter 2025 revenues rose 12.3% year-over-year, with UnitedHealthcare up 17.5% and Optum up 8%. The company is advancing AI-driven initiatives in claims processing and care coordination. Medicare Advantage membership increased 7.6% year-over-year. Humana maintains a more concentrated focus on government-sponsored plans and value-based care. The article compares their scale, vertical integration and revenue mix to assess which stock offers greater upside potential.

MarketScreener
Feb 13th, 2026
CenterWell acquires Florida's MaxHealth, expanding senior primary care to 82 clinics and 80,000 patients

CenterWell, the healthcare services division of Humana, has completed its acquisition of MaxHealth from Arsenal Capital Partners and the company's founder-shareholders. Financial terms were not disclosed. MaxHealth operates a network of 82 owned and affiliated clinics across West and South Florida, serving over 120,000 patients, including more than 80,000 in value-based care programmes. Founded in 2015, the company employs over 530 staff, including 100-plus primary care providers and 30-plus specialists. The acquisition expands CenterWell Senior Primary Care, the nation's largest senior-focused, value-based primary care provider, into new key Florida markets. MaxHealth was formed through the combination of three physician-founded organisations under Arsenal's ownership. Guggenheim Securities and Morgan Stanley advised MaxHealth, whilst JP Morgan Securities advised Humana and CenterWell.

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