Regional VP, Provider Network Performance

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5 hours ago

🏈 Alabama – Remote

Although this job is listed in Alabama, this company may be open to hiring remote in other states.

⚜️ Louisiana – Remote

Although this job is listed in Louisiana, this company may be open to hiring remote in other states.

+3 more states

🏈 Alabama – Remote ⚜️ Louisiana – Remote 🎸 Mississippi – Remote 🎸 Tennessee – Remote ⚔️ Virginia – Remote

💵 $168k - $231k / year

⏰ Full Time

🔴 Lead

👔 Vice President

🦅 H1B Visa Sponsor

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Humana

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Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

📋 Description

• establishes long-range goals, objectives, and plans • monitors financial and operational performance • 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 • responsible for the overall success of Stars and Risk Adjustment strategy and performance within the Gulf South region • manages provider relationships, provider performance, member experience, provider experience market growth, and operational excellence

🎯 Requirements

• 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

🏖️ Benefits

• 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 • many other opportunities