Regional Vice President, Contracting at Humana

Las Vegas, Nevada, United States

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Not SpecifiedCompensation

Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Bachelor's Degree
Extensive leadership experience in the healthcare industry
Proven track record of driving operational performance improvement
Proven experience developing multi-product strategy at the market level or higher
Excellent verbal and written communications skills
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
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
Solid track record of hiring and developing talent and preparing associates for roles of broader and greater responsibility
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Must live in and have the ability to travel as needed in the designated region: CA, NV, AZ, CO, NM, HI
Master's Degree (preferred)
Prefer residence in Los Angeles, Phoenix, Denver or Las Vegas (preferred)

Responsibilities

Manages the development, operations, and results of a health plan
Responsible for all contract negotiations in the Pacific Southwest Region including CA, NV, AZ, CO, NM, HI
Establish long-range goals, objectives, and plans
Monitor financial and operational performance
Coordinate activities of senior managers and their respective functions in the region

Skills

Contract Negotiation

Healthcare Leadership

Provider Contracting

Health Plan Finance

Risk Arrangements

Operational Performance Improvement

Multi-Product Strategy

Talent Development

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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