VP Network Development
Devoted Health240,000 - 290,000 USD/year
- Full Time
- Expert & Leadership (9+ years)
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Managed CareIndustries
Requirements
Candidates must possess extensive experience in contracting and/or managing relationships with Integrated Delivery Systems, several years of experience in a managed care environment leading a network development/provider relations function, and proven experience leading contracting for Medicare products. A comprehensive knowledge of health plan finance and provider compensation arrangements, including plan funding and risk management, is required, along with a Bachelor’s degree in Finance, Health Care Administration, or a related field, with an MBA and/or JD degree preferred.
Responsibilities
The VP, National Provider Network Management will strategically partner with all segments of Humana’s Insurance Business, accountable for developing and maintaining strategic network relationships with large national providers, ensuring adequate coverage of healthcare services, aligning strategy and priorities, establishing enterprise-wide contracting standards, collaborating across departments to implement those practices, leading enterprise change efforts regarding contract standardization, ensuring access to care for members, developing and leading trend initiatives with key providers, providing executive leadership of Provider Performance and Analytics functions, maintaining commercial parity pricing, managing across a highly matrixed organization, and leading change efforts within the team and providing leadership to a team of executives and their staff.
Skills
Healthcare contracting
Provider relationship management
Network development
Managed care
Medicare contracting
Health plan finance
Provider reimbursement
Risk management
Strategic partnership
Contracting standards and policies
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.
Key Metrics
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees