Manager, Network Performance

🔥 43 minutes ago

🏈 Alabama, Louisiana, +2 more states – Remote

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

💵 $94.9k - $130.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Lead and develop a team of provider-facing associates • Serve as subject matter expert on CMS Stars, HEDIS, CAHPS, and HOS • Oversee external discussions with provider partners to drive performance improvement, workflow optimization, and outcome monitoring • Collaborate across Provider Engagement, Stars, MRA, Interoperability, Clinical, Provider Contracting, Leadership, and other business partners • Align team priorities and execution with enterprise, regional, and departmental KPIs and OKRs • Lead cross-functional meetings and strategic initiatives • Analyze data, identify insights and opportunities, and communicate findings to leadership and the team • Develop data-driven education and resources to support team performance • Oversee daily operations and strategic execution for direct reports • Monitor and report team and initiative performance results • Foster a culture of engagement, well-being, and professional development

🎯 Requirements

• 3-5 years progressive experience in the payer, healthcare, provider relations, quality improvement or related space • Demonstrated success driving performance in complex healthcare environments • Prior Medicare experience • Strong understanding of value-based care models, provider performance improvement, and quality-focused healthcare delivery • Knowledge of HEDIS/Stars, Interoperability, and Medicare Risk Adjustment • Ability to analyze and interpret healthcare data, identify trends and opportunities, and translate insights into actionable strategies • Experience leading, coaching, mentoring, or developing associates • Must be able to work during 8-5pm EST/CST • Must live within Alabama, Louisiana, Mississippi, or Tennessee • Bachelor’s degree in business, finance, healthcare, or related field, or equivalent experience (preferred) • Management experience, leading and developing others (preferred) • Progressive experience in the health solutions industry (preferred) • Prior managed care or Medicaid experience (preferred) • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

🏖️ 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 • Personal wellness and smart healthcare decision support • Remote/work at home arrangement • Occasional travel to Humana offices for training or meetings