Description

Become a part of our caring community and help us put health first
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. Decisions are typically related to intradepartmental coordination, development and implementation of strategic plans, business outcomes, which align with the Segment or Business strategy.

The Regional VP, Provider Network Performance is responsible for the overall success of Stars and Risk Adjustment strategy and performance within the Gulf South region which includes Louisiana, Alabama, Mississippi, Tennessee and Southwest Virginia. As well as, provider relationships, provider performance, member experience, provider experience market growth, and operational excellence. The ideal candidate must live in the Gulf South Region (LA, MS, AL, TN or Southwest Virginia).

Use your skills to make an impact

Required Qualifications

• Bachelor's Degree
• 7 plus years leadership experience in the healthcare industry with demonstrated success in leading and developing teams.
• Strong knowledge and understanding of Stars and Medicare Risk Adjustment.
• Ability to closely 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 be passionate about contributing to an organization focused on continuously 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
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.

$168,000 - $231,000 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.
Requisition #: R-397675

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