Regional VP of Contracting (Midwest) at Humana

Louisville, Kentucky, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), 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

Responsibilities

Manages the development, operations, and results of a health plan
Establishes long-range goals, objectives, and plans
Monitors financial and operational performance
Coordinates activities of senior managers and their respective functions
Represents the health plan externally and to governmental/external agencies
Makes decisions related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes
Develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy

Skills

Key technologies and capabilities for this role

leadershiphealthcare industryoperational performance improvementmulti-product strategycontract negotiationprovider contractinghealth plan financecompensation arrangementsrisk arrangementshiring and developing talent

Questions & Answers

Common questions about this position

What is the salary range for the Regional VP of Contracting role?

The starting base pay range is $203,400 - $279,800 per year, which may vary based on geographic location, skills, knowledge, experience, education, and certifications. This job is also eligible for a bonus incentive plan based on company and/or individual performance.

What benefits does Humana offer?

Humana offers competitive benefits supporting whole-person well-being, including medical, dental and vision benefits, 401(k) retirement savings plan, and time off such as paid time off, company and personal holidays.

Is this a remote position or does it require being in the Midwest?

This information is not specified in the job description.

What are the required qualifications and skills for this role?

Required qualifications include a Bachelor's Degree, extensive leadership experience in healthcare, proven track record of driving operational performance improvement, experience developing multi-product strategy, excellent communication skills, experience leading end-to-end contract negotiations for all provider types, comprehensive knowledge of health plan finance and provider compensation, knowledge of risk arrangements, and a track record of hiring and developing talent.

What makes a strong candidate for this Regional VP position?

A strong candidate will have a Bachelor's Degree (Master's or J.D. preferred), extensive healthcare leadership experience with a proven track record in operational improvements, multi-product strategy development, end-to-end provider contract negotiations, health plan finance knowledge, and talent development, plus passion for improving consumer experiences.

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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