Humana

Lead (Interoperability), Vendor Relationship Management

San Antonio, Texas, United States

Not SpecifiedCompensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries

About the Role

Employment Type: Full time

Become a part of our caring community and help us put health first. At Humana, we are leading the industry in payer-to-provider interoperability and driving better outcomes for our providers and members. In this role, you will be overseeing the vendor contracting, due diligence and day-to-day relationship management of Interoperability vendor partners. You will contribute to the growth of our Interoperability by expanding partnerships with key vendor partners.

As the Vendor Relationship Management Enterprise Transformation Lead, the ideal candidate will be comfortable evaluating new and existing vendor contracts. Additionally, the candidate should be confident managing due-diligence requirements as well as various contracting processes. To be successful in this position, you will not only need to lead external relationships and vendor contracts – but also know how those relationships and agreements improve interoperable connectivity (and outcomes) for Humana. You will work with leading experts in the interoperability space and manage key partnerships that drive strategic enterprise goals. Performance will largely be measured by optimizing current relationships, creation of net new partnerships, and enabling broad organizational adoption.

Key Responsibilities

  • Build and maintain positive relationships with EHR/3rd Party vendors and internal business partners.
  • Communicate with internal and external partners regarding day-to-day and long-term efforts.
  • Grow potential new vendor partnerships by participating in industry activities (i.e., HIMSS, Interoperability-and Vendor-specific conferences).
  • Develop KPIs for process measurement and identify future improvement opportunities.
  • Manage QBRs and measure SLA performance, ensuring partnership expectations are met.
  • Align improvement plans to partnership program and performance shortfalls.
  • Drive and lead contracting conversations with key vendor partners.
  • Provide input into the broader Interoperability strategy and direction.
  • Present status and recommendations to leaders regarding the state of our partnerships.
  • Communicate performance plans to vendor partners/stakeholders, and track progress to resolution.
  • Use your skills to make an impact.

Required Qualifications

  • Bachelor's degree in business, healthcare studies, or related field or equivalent experience.
  • 3+ years of vendor or provider procurement/contracting experience.
  • 4+ years of account or relationship management experience.
  • Ability to travel 10-15%.

Preferred Qualifications

  • Experience in healthcare services.

Additional Information

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Work at home requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

SSN Alert: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@mywor.

Skills

Vendor Management
Contract Negotiation
Due Diligence
Relationship Management
Interoperability
EHR
SLA Management
KPI Development
Strategic Partnerships
Enterprise Transformation

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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