Director – Market Leadership

🕒 August 20

🇺🇸 United States – Remote

💵 $138.9k - $191k / year

⏰ Full Time

🟠 Senior

👔 Director

🦅 H1B Visa Sponsor

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Logo of Humana

Humana

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • 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.

📋 Description

• Manage the TRICARE contract within an assigned geography, potentially spanning multiple states • Link market-level strategic, operational, and tactical actions for Humana Military, DHA, DHNs, and MTFs • Oversee day-to-day TRICARE activities across PSAs, NPSAs, MTFs, Coast Guard clinics, and National Guard and Reserve Units • Provide consultative services to DHN and MTF personnel to create and sustain an integrated healthcare system aligned with the MHS Quadruple Aim • Develop, influence, and implement strategies improving DHN/MTF optimization, medical force readiness, and service-member readiness • Supervise TRICARE service delivery and network operations, including customer support, outreach, network adequacy, access-to-care standards, provider relationships, provider education, and provider management • Participate in developing Alternative Payment Methodologies and Demonstration Pilots aligned to Value Based Care models • Report to a Regional Vice President

🎯 Requirements

• U.S. citizenship required • Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services) • Candidates currently living in Puerto Rico cannot be hired • 5 years of leadership experience in the healthcare industry • Strategic planning experience • Experience in the Military Health System and/or with TRICARE contracts • Experience with fiscal stewardship or responsibility for managing cost trends • Network development and management experience • Managed Care experience • Experience coordinating the activities of diverse functions • Ability to work Central and/or Eastern Time Zone hours • Self-provided internet with at least 25 Mbps download and 10 Mbps upload • Dedicated workspace without ongoing interruptions to protect member PHI / HIPAA information • Occasional travel to Humana offices for training or meetings may be required

🏖️ Benefits

• Bonus incentive plan based upon company and/or individual performance • Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Other whole-person wellness and healthcare benefits

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