Regional VP of Provider Contracting

Humana • Metairie, LA

8d

About The Position

Become a part of our caring community and help us put health first Humana is seeking an accomplished healthcare leader for the position of Regional Vice President (RVP) Provider Contracting. The RVP will provide executive leadership to the Provider Contracting team that supports Humana’s Medicare line of business in the Gulf South Region, which includes LA, MS, AL, TN and Southwest Virginia. 35% travel should be expected in this role. The ideal candidate must live in the Gulf South Region (LA, MS, AL, TN or Southwest Virginia) and have deep expertise with the provider community and contracting. He/she will have extensive business leadership experience, with several years in a managed care environment leading contracting for Medicare products. This person will also possess comprehensive knowledge of health plan finance and the compensation arrangements between health plans and providers, including plan funding, risk management and provider reimbursement. Use your skills to make an impact

Requirements

• Bachelor’s degree
• 5 plus years leadership experience in the healthcare industry
• Experience leading the end-to-end contract negotiation process through closure for all types of providers (physicians, hospitals, post-acute care facilities) and delegated specialty services across Medicare, Medicaid and Employer Group segments.
• Knowledge of value-based risk arrangements and ability to influence these arrangements.
• Solid track record of hiring and developing talent and preparing associates for roles of broader and greater responsibility
• The ability to identify health service expenses and implement cost control mechanisms within contracts.
• Experience identifying and recruiting providers to ensure network alignment with planned sales process execution, orienting providers and managing relationships, and driving improvement in provider satisfaction via education, communication and streamlining claims resolution.
• Prior executive leadership experience in sales, finance, legal, health services, and/or medical management; demonstrated ability to partner across functions to create and deploy win/win strategies.
• Recognition as a thought leader in the area of healthcare trend mitigation.
• Ability to effectively navigate and manage through a matrixed organizational environment in a large (Fortune 250) company.
• Strong relationship management skills, to teach, tailor, and take control of opportunity definition and initiation with business partners.
• Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with audiences and positive representation of Humana in external forums.
• Must reside or be willing to relocate to Gulf South Region (LA, MS, AL, TN or Southwest Virginia)

Nice To Haves

• Master's or J.D. degree
• Record of success leading provider contracting and provider engagement activities for all lines of business

Benefits

• Humana provides 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 and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Number of Employees: 5,001-10,000 employees