Director of Provider Operations – VA

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $126.3k - $173.7k / year

⏰ Full Time

🔴 Lead

⚙️ Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Humana

WebsiteLinkedInAll Job Openings

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

• Report to an Associate VP of Strategy Advancement • Manage a large operations team • Build, execute, and oversee manual operations supporting VA CCN Credentialing and Provider Data Loading • Define operational strategy and priorities aligned with business goals and requirements • Ensure operational infrastructure remains efficient, reliable, and cost-effective • Collaborate across Provider teams and Humana Military • Improve manual work and enhance data quality • Guide automation priorities • Manage performance through KPIs, staffing, and capacity planning • Travel occasionally to Humana offices for training or meetings

🎯 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 • 7 years managing 15+ associates • 10 years of healthcare operations leadership experience • 5 years of experience building a large-scale operations team for a new implementation • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information • Bachelor's degree preferred • VA/TRICARE experience preferred • Provider data management experience preferred

🏖️ 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 • Self-provided internet service for home work • Remote work arrangement • Occasional travel to Humana offices for training or meetings