Market VP, Provider Engagement- NE Region - Humana
Montpelier, VT
About the Job
Become a part of our caring community and help us put health first
The Market VP, Provider Engagement, manages the development, operations, and results of provider outcomes. The Market VP requires an in-depth understanding of how organization capabilities interrelate across segments and the enterprise
The Market VP, Provider Engagement, establishes long-range goals, objectives, and plans, monitors financial and operational performance, and coordinates activities of senior leaders and their respective functions with a focus on Provider Engagement, outcomes/results, Quality/Stars, and Medicare Risk Adjustment. Represents the health plan externally to partner providers and builds provider relationships.
The Market VP, Provider Engagement is responsible for the overall success of Provider outcomes/results, Stars, and Risk Adjustment strategy and performance within a designated region as well as overall provider relationships, member experience, provider experience market growth, and operational excellence.
This position reports to the Northeast Region President and must currently reside in one of the following states: ME, MA, NH, VT, RI, NY, NJ, CT, MD, DE, PA or DC. Position has 55 + direct and indirect reports
Use your skills to make an impact
Required Qualifications
+ Bachelor's Degree
+ 8 plus years of performance management and partnerships
+ 5 plus years leadership experience in the healthcare industry
+ Extensive leadership experience in the healthcare industry with demonstrated success in leading and developing teams.
+ Strong knowledge and experience of Provider engagement, value-based arrangements, Quality/Stars, and Medicare Risk Adjustment.
+ Ability to closely partner, build strong relationships and work effectively with corporate leadership teams and programs.
+ 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.
+ Proven track record of driving performance improvement
+ Excellent communication skills, both oral and written
+ Ability to travel as needed
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
+ Master's degree
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$164,700 - $226,600 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
The Market VP, Provider Engagement, manages the development, operations, and results of provider outcomes. The Market VP requires an in-depth understanding of how organization capabilities interrelate across segments and the enterprise
The Market VP, Provider Engagement, establishes long-range goals, objectives, and plans, monitors financial and operational performance, and coordinates activities of senior leaders and their respective functions with a focus on Provider Engagement, outcomes/results, Quality/Stars, and Medicare Risk Adjustment. Represents the health plan externally to partner providers and builds provider relationships.
The Market VP, Provider Engagement is responsible for the overall success of Provider outcomes/results, Stars, and Risk Adjustment strategy and performance within a designated region as well as overall provider relationships, member experience, provider experience market growth, and operational excellence.
This position reports to the Northeast Region President and must currently reside in one of the following states: ME, MA, NH, VT, RI, NY, NJ, CT, MD, DE, PA or DC. Position has 55 + direct and indirect reports
Use your skills to make an impact
Required Qualifications
+ Bachelor's Degree
+ 8 plus years of performance management and partnerships
+ 5 plus years leadership experience in the healthcare industry
+ Extensive leadership experience in the healthcare industry with demonstrated success in leading and developing teams.
+ Strong knowledge and experience of Provider engagement, value-based arrangements, Quality/Stars, and Medicare Risk Adjustment.
+ Ability to closely partner, build strong relationships and work effectively with corporate leadership teams and programs.
+ 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.
+ Proven track record of driving performance improvement
+ Excellent communication skills, both oral and written
+ Ability to travel as needed
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
+ Master's degree
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$164,700 - $226,600 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana
