Director, Market Leadership

Humana

4d • $138,900 - $191,000 • Remote

About The Position

As a remote Director, Market Leadership you will report to a Regional Vice President. You will manage the TRICARE contract within an assigned geography which may be comprised of a multi-state area. This critical role links market-level strategic, operational and tactical actions for the success of Humana Military, the Defense Health Agency (DHA), Defense Health Networks (DHNs) and Military Treatment Facilities (MTFs). You will oversee day-to-day TRICARE activities within a territory that includes designated Prime Service Areas (PSAs), Non-Prime Service Areas (NPSAs), MTFs, Coast Guard clinics, and National Guard and Reserve Units. Provide expert consultative services to DHN and MTF personnel to create and sustain a local high-quality integrated healthcare system congruent with the Military Health System (MHS) Quadruple Aim. You will develop, influence, and implement strategies and courses of action that improve DHN/MTF optimization, a ready medical force and medically ready service members. You will supervise TRICARE service delivery and network operations to include customer support and outreach activities, network adequacy, access to care standards, provider relationships, provider education, and provider management. You will participate in the development of Alternative Payment Methodologies and Demonstration Pilots aligned to Value Base Care models.

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.

Nice To Haves

• Bachelor's degree.
• Self-provided internet service must meet at least a download speed of 25 Mbps and an upload speed of 10 Mbps; wireless, wired cable or DSL connection is suggested.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Occasional travel to Humana's offices for training or meetings may be required.

Responsibilities

• Manage the TRICARE contract within an assigned geography.
• Link market-level strategic, operational and tactical actions for the success of Humana Military, the Defense Health Agency (DHA), Defense Health Networks (DHNs) and Military Treatment Facilities (MTFs).
• Oversee day-to-day TRICARE activities within a territory.
• Provide expert consultative services to DHN and MTF personnel to create and sustain a local high-quality integrated healthcare system congruent with the Military Health System (MHS) Quadruple Aim.
• Develop, influence, and implement strategies and courses of action that improve DHN/MTF optimization, a ready medical force and medically ready service members.
• Supervise TRICARE service delivery and network operations to include customer support and outreach activities, network adequacy, access to care standards, provider relationships, provider education, and provider management.
• Participate in the development of Alternative Payment Methodologies and Demonstration Pilots aligned to Value Base Care models.

Benefits

• Medical benefits
• Dental benefits
• Vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term disability
• Long-term disability
• Life insurance
• Bonus incentive plan

What This Job Offers

• Job Type: Full-time
• Career Level: Director