Regional VP Provider Experience and Contracting

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Job Information
Humana
Regional VP, Provider Experience and Contracting
in
Torrance
California
Description
The Regional VP manages the development, operations, and results of a health plan. The Regional VP requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide.
Responsibilities
The Regional VP establishes long-range goals, objectives, and plans; monitors financial and operational performance; and coordinates activities of senior managers and their respective functions. Represents the health plan externally and to governmental/external agencies. Decisions are typically related to intradepartmental coordination, development and implementation of strategic plans and business outcomes, and develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy.
Required Qualifications
Bachelor's Degree and/or equivalent work experience
Extensive leadership experience in the healthcare industry with an emphasis on Medicare Advantage
Proven track record of driving operational performance improvement
Proven experience developing multi-product strategies at the market level or higher, including geographic expansions and provider-centered products to drive member growth and retention
Excellent verbal and written communications skills
Experience leading the end-to-end contract negotiation process through closure for all types of providers (IPAs, IDNs, physicians, hospitals, post-acute care facilities) including delegated services and oversight.
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, provider and Humana associate experiences
Embrace a rapid, iterative approach to decision making and solutions, work across teams to promote collaboration and co-creation and remove unnecessary steps or barriers that stand in way of progress
Preferred Qualifications
Master's or J.D. degree
Record of success leading provider contracting and provider engagement activities for all lines of business
Additional Information
Reports to the VP Medicare Regional President
The position has 5 direct reports , and roughly 30 indirect reports
For this job, associates are required to be fully COVID vaccinated, including booster or undergo weekly COVID testing and wear a face-covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.
If progressed to offer, you will be required to:
​Provide proof of full vaccination, including booster or commit to testing protocols
*OR  *
Provide proof of applicable exemption including any required supporting documentation.
​​Medical, religious, state and remote-only work exemptions are available
Scheduled Weekly Hours
40

Company info

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