Humana
Regional VP, Provider Network Performance
Join to apply for the
Regional VP, Provider Network Performance
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
$168,000.00/yr - $231,000.00/yr About the Role
The Regional VP, Provider Network Performance establishes long-range goals, objectives, and plans, monitors financial and operational performance, and coordinates activities of senior leaders and their respective functions with a focus on Provider Engagement, Quality and Medicare Risk Adjustment. Represents the health plan externally and to governmental/external agencies in the Gulf South Region. Decision-making involves intradepartmental coordination, development and implementation of strategic plans, and business outcomes that align with the Segment or Business strategy. Responsible for overall success of Stars and Risk Adjustment strategy and performance within the Gulf South region (Louisiana, Alabama, Mississippi, Tennessee, Southwest Virginia). Also oversees provider relationships, provider performance, member experience, provider experience market growth, and operational excellence. Candidate must be resident in the Gulf South Region (LA, MS, AL, TN or Southwest Virginia). Responsibilities
Establish long-range goals, objectives, and plans. Monitor financial and operational performance. Coordinate activities of senior leaders and functions focused on Provider Engagement, Quality, and Medicare Risk Adjustment. Represent the health plan externally and to governmental/external agencies. Develop and implement strategic plans aligned with business strategy. Drive performance improvement for Stars and Risk Adjustment. Required Qualifications
Bachelor's Degree. 7+ years leadership experience in the healthcare industry with demonstrated success. Strong knowledge of Stars and Medicare Risk Adjustment. Ability to build strong relationships with corporate leadership teams. Comprehensive knowledge of health plan finance and compensation arrangements between health plans and providers. Knowledge of risk arrangements and ability to influence these arrangements. Proven track record of driving performance improvement. Excellent oral and written communication skills. Ability to travel as needed. Passion for improving consumer experiences. Must reside or be willing to relocate to LA, MS, AL, TN or Southwest Virginia. Preferred Qualifications
Master's degree. Proficiency in quality improvement processes, analyzing and interpreting financial trends. Additional Information
Scheduled Weekly Hours: 40 Pay Range: $168,000 - $231,000 per year. This range may vary based on location and experience. Eligible for a bonus incentive plan. Benefits
Humana offers competitive benefits: medical, dental, vision, 401(k), paid time off, disability, life insurance, and many other opportunities. 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.
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Join to apply for the
Regional VP, Provider Network Performance
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
$168,000.00/yr - $231,000.00/yr About the Role
The Regional VP, Provider Network Performance establishes long-range goals, objectives, and plans, monitors financial and operational performance, and coordinates activities of senior leaders and their respective functions with a focus on Provider Engagement, Quality and Medicare Risk Adjustment. Represents the health plan externally and to governmental/external agencies in the Gulf South Region. Decision-making involves intradepartmental coordination, development and implementation of strategic plans, and business outcomes that align with the Segment or Business strategy. Responsible for overall success of Stars and Risk Adjustment strategy and performance within the Gulf South region (Louisiana, Alabama, Mississippi, Tennessee, Southwest Virginia). Also oversees provider relationships, provider performance, member experience, provider experience market growth, and operational excellence. Candidate must be resident in the Gulf South Region (LA, MS, AL, TN or Southwest Virginia). Responsibilities
Establish long-range goals, objectives, and plans. Monitor financial and operational performance. Coordinate activities of senior leaders and functions focused on Provider Engagement, Quality, and Medicare Risk Adjustment. Represent the health plan externally and to governmental/external agencies. Develop and implement strategic plans aligned with business strategy. Drive performance improvement for Stars and Risk Adjustment. Required Qualifications
Bachelor's Degree. 7+ years leadership experience in the healthcare industry with demonstrated success. Strong knowledge of Stars and Medicare Risk Adjustment. Ability to build strong relationships with corporate leadership teams. Comprehensive knowledge of health plan finance and compensation arrangements between health plans and providers. Knowledge of risk arrangements and ability to influence these arrangements. Proven track record of driving performance improvement. Excellent oral and written communication skills. Ability to travel as needed. Passion for improving consumer experiences. Must reside or be willing to relocate to LA, MS, AL, TN or Southwest Virginia. Preferred Qualifications
Master's degree. Proficiency in quality improvement processes, analyzing and interpreting financial trends. Additional Information
Scheduled Weekly Hours: 40 Pay Range: $168,000 - $231,000 per year. This range may vary based on location and experience. Eligible for a bonus incentive plan. Benefits
Humana offers competitive benefits: medical, dental, vision, 401(k), paid time off, disability, life insurance, and many other opportunities. 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.
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