Regional VP, Provider Network Performance

Humana • Metairie, LA

1d

About The Position

Become a part of our caring community and help us put health first The Regional VP, Provider Network Performance, establishes long-range goals, objectives, and plans, monitors financial and operational performance, and coordinates activities of senior leaders and their respective functions with a focus on Provider Engagement, Quality and Medicare Risk Adjustment. Represents the health plan externally and to governmental/external agencies in the Gulf South Region. Decisions are typically related to intradepartmental coordination, development and implementation of strategic plans, business outcomes, which align with the Segment or Business strategy. The Regional VP, Provider Network Performance is responsible for the overall success of Stars and Risk Adjustment strategy and performance within the Gulf South region which includes Louisiana, Alabama, Mississippi, Tennessee and Southwest Virginia. As well as, provider relationships, provider performance, member experience, provider experience market growth, and operational excellence. The ideal candidate must live in the Gulf South Region (LA, MS, AL, TN or Southwest Virginia). Use your skills to make an impact

Requirements

• Bachelor's Degree
• 7 plus years leadership experience in the healthcare industry with demonstrated success in leading and developing teams.
• Strong knowledge and understanding of Stars and Medicare Risk Adjustment.
• Ability to closely partner, build strong relationships and work effectively with corporate leadership teams and programs.
• Comprehensive knowledge of health plan finance and the compensation arrangements between health plans and providers
• Knowledge of risk arrangements and ability to influence these arrangements.
• Proven track record of driving performance improvement
• Excellent communication skills, both oral and written
• Ability to travel as needed
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Must reside or be willing to relocate to LA, MS, AL, TN or Southwest Virginia

Nice To Haves

• Master's degree
• Proficiency in quality improvement processes, analyzing and interpreting financial trends

Benefits

• Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being.
• Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.
• Among our 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