Humana
Regional VP, Health Services - Midwest Region
Join to apply for the
Regional VP, Health Services - Midwest Region
role at
Humana This range is provided by Humana. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range
$298,000.00/yr - $409,800.00/yr Become a part of our caring community and help us put health first The Regional VP, Health Services relies on medical background to create and oversee clinical strategy for the region. The Regional VP, Health Services requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide. Regional VP of Health Services, Humana Medicare Advantage As the Regional VP of Health Services, you will serve as the senior clinical executive responsible for shaping and executing the region’s clinical engagement strategy. This role drives quality improvement, cost efficiency, and population health outcomes through strategic provider partnerships, data-informed decision-making, and cross-functional collaboration. Primary Responsibilities
Clinical Engagement & Provider Strategy: Cultivate and maintain trusted relationships with CMOs and senior executive/clinical leaders at provider and care delivery partner organizations. Serve as lead clinical executive for provider groups, translating clinical and quality priorities into actionable strategies. Enhance innovation with hospital systems while fostering collaboration and reducing operational barriers. Drive population health initiatives to improve the health and well-being of our members, including: A strong understanding of clinical metrics and data. Identifying and implementing initiatives to address total cost of care drivers. Championing condition-based interventions. Leading clinical strategies to manage unique populations. Clinical Strategy & Market Performance
Serve as the clinical steward for regional medical expense trends, leveraging data to guide interventions, and ensure fiscal accountability. Collaborate with finance, analytics, and market leadership to identify cost and quality outliers and implement targeted action plans. Customize strategies to align clinical programs with payer-specific needs. Provide clinical input into network development, contract negotiations, and delegation oversight. Innovation & Transformation
Partner with national innovation teams to pilot and scale emerging technologies and care models. Lead regional implementation of clinical focused strategic programs. Collaborate with vendor partnerships and evaluate performance against clinical and financial KPIs. Qualifications
Active MD or DO licensure with appropriate training and certification. 5+ years clinical practice. 5 + years in managed care industry, either provider or payer. Thorough knowledge of health care utilization and quality metrics. Proficient communication skills, including interpersonal, written and presentation. Preferred
Experience in both provider and payer roles. Prior executive level role with successful track record of building external relationships and driving quality and financial results. Advanced degree in business, management and/or population health. 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. Description Of Benefits : Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. About Us : Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. 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.
#J-18808-Ljbffr
Join to apply for the
Regional VP, Health Services - Midwest Region
role at
Humana This range is provided by Humana. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range
$298,000.00/yr - $409,800.00/yr Become a part of our caring community and help us put health first The Regional VP, Health Services relies on medical background to create and oversee clinical strategy for the region. The Regional VP, Health Services requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide. Regional VP of Health Services, Humana Medicare Advantage As the Regional VP of Health Services, you will serve as the senior clinical executive responsible for shaping and executing the region’s clinical engagement strategy. This role drives quality improvement, cost efficiency, and population health outcomes through strategic provider partnerships, data-informed decision-making, and cross-functional collaboration. Primary Responsibilities
Clinical Engagement & Provider Strategy: Cultivate and maintain trusted relationships with CMOs and senior executive/clinical leaders at provider and care delivery partner organizations. Serve as lead clinical executive for provider groups, translating clinical and quality priorities into actionable strategies. Enhance innovation with hospital systems while fostering collaboration and reducing operational barriers. Drive population health initiatives to improve the health and well-being of our members, including: A strong understanding of clinical metrics and data. Identifying and implementing initiatives to address total cost of care drivers. Championing condition-based interventions. Leading clinical strategies to manage unique populations. Clinical Strategy & Market Performance
Serve as the clinical steward for regional medical expense trends, leveraging data to guide interventions, and ensure fiscal accountability. Collaborate with finance, analytics, and market leadership to identify cost and quality outliers and implement targeted action plans. Customize strategies to align clinical programs with payer-specific needs. Provide clinical input into network development, contract negotiations, and delegation oversight. Innovation & Transformation
Partner with national innovation teams to pilot and scale emerging technologies and care models. Lead regional implementation of clinical focused strategic programs. Collaborate with vendor partnerships and evaluate performance against clinical and financial KPIs. Qualifications
Active MD or DO licensure with appropriate training and certification. 5+ years clinical practice. 5 + years in managed care industry, either provider or payer. Thorough knowledge of health care utilization and quality metrics. Proficient communication skills, including interpersonal, written and presentation. Preferred
Experience in both provider and payer roles. Prior executive level role with successful track record of building external relationships and driving quality and financial results. Advanced degree in business, management and/or population health. 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. Description Of Benefits : Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. About Us : Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. 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.
#J-18808-Ljbffr