Humana
Regional VP, Provider Network Performance
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Base Pay Range $168,000.00 per year – $231,000.00 per year
Responsibilities 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. Oversees the overall success of Stars and Risk Adjustment strategy and performance within the Gulf South region, including Louisiana, Alabama, Mississippi, Tennessee, and Southwest Virginia. Manages provider relationships, provider performance, member experience, provider experience, market growth, and operational excellence.
Required Qualifications
Bachelor’s Degree
7+ years leadership experience in the healthcare industry with demonstrated success in leading and developing teams
Strong knowledge of Stars and Medicare Risk Adjustment
Ability to partner, build strong relationships, and work effectively with corporate leadership teams and programs
Comprehensive knowledge of health plan finance and the 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 communication skills, both oral and written
Ability to travel as needed
Must reside or be willing to relocate to the Gulf South Region (LA, MS, AL, TN, or Southwest Virginia)
Preferred Qualifications
Master’s degree
Proficiency in quality improvement processes, analyzing and interpreting financial trends
Benefits Humana offers competitive benefits including medical, dental, and vision coverage, a 401(k) retirement plan, paid time off, paid parental and caregiver leave, short‑term and long‑term disability, life insurance, and many other opportunities to support whole‑person wellbeing.
Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment based on 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.
Seniority level: Executive
Employment type: Full‑time
Job function: Information Technology
Scheduled weekly hours: 40
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Base Pay Range $168,000.00 per year – $231,000.00 per year
Responsibilities 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. Oversees the overall success of Stars and Risk Adjustment strategy and performance within the Gulf South region, including Louisiana, Alabama, Mississippi, Tennessee, and Southwest Virginia. Manages provider relationships, provider performance, member experience, provider experience, market growth, and operational excellence.
Required Qualifications
Bachelor’s Degree
7+ years leadership experience in the healthcare industry with demonstrated success in leading and developing teams
Strong knowledge of Stars and Medicare Risk Adjustment
Ability to partner, build strong relationships, and work effectively with corporate leadership teams and programs
Comprehensive knowledge of health plan finance and the 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 communication skills, both oral and written
Ability to travel as needed
Must reside or be willing to relocate to the Gulf South Region (LA, MS, AL, TN, or Southwest Virginia)
Preferred Qualifications
Master’s degree
Proficiency in quality improvement processes, analyzing and interpreting financial trends
Benefits Humana offers competitive benefits including medical, dental, and vision coverage, a 401(k) retirement plan, paid time off, paid parental and caregiver leave, short‑term and long‑term disability, life insurance, and many other opportunities to support whole‑person wellbeing.
Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment based on 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.
Seniority level: Executive
Employment type: Full‑time
Job function: Information Technology
Scheduled weekly hours: 40
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