VP, Medicare Regional President-NE Region - Humana
Providence, RI
About the Job
Become a part of our caring community and help us put health first
Humana, a market leader in integrated healthcare, is currently seeking an accomplished healthcare executive for the role of Market President for the Northeast Region. Reporting to the East Division Senior Vice President, the Regional Market President manages the development, operations, and business results for the Northeast region which includes the states of Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut, New York, New Jersey, Delaware, Pennsylvania, Maryland, and Washington D.C. The Regional Market President requires an in-depth understanding of how organization capabilities interrelate across segments and enterprise-wide.
The Regional Market President establishes goals, objectives and plans for the Region; drives financial and operational performance; and coordinates activities of senior managers and their respective functions. The Regional President represents the health plan externally and to governmental/external agencies, and advocates for the priorities of the region internally. The Regional President develops strategic plans for their region, makes decisions related to the implementation of those plans, and collaborates with internal partners to bring initiatives to fruition. This includes the following key responsibilities:
+ Develop product strategy for annual Medicare Advantage plan filings
+ Lead the expansion and support for value-based care and innovation with internal and external providers
+ Build collaborative partnerships with aligned internal business partners
+ P&L management, including the identification of key strategic business investments and capability development
+ Leadership of approximately 250 associates focused in the areas of Provider Contracting, Provider Engagement and Quality, Risk Adjustment, Clinical, and Financial Operations.
+ Leadership development, including mentoring for associates outside the Northeast team.
Use your skills to make an impact
Required Qualifications
+ 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
+ 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 reside or be willing to relocate to a state within the region, relocation will be provided
Preferred Qualifications
+ Master's or J.D. degree
+ Record of success leading provider contracting and provider engagement activities for all lines of business
+ Medicare Advantage experience
Additional Information
This position will require approximately 30% travel within the Northeast region.
Scheduled Weekly Hours
40
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.
Humana, a market leader in integrated healthcare, is currently seeking an accomplished healthcare executive for the role of Market President for the Northeast Region. Reporting to the East Division Senior Vice President, the Regional Market President manages the development, operations, and business results for the Northeast region which includes the states of Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut, New York, New Jersey, Delaware, Pennsylvania, Maryland, and Washington D.C. The Regional Market President requires an in-depth understanding of how organization capabilities interrelate across segments and enterprise-wide.
The Regional Market President establishes goals, objectives and plans for the Region; drives financial and operational performance; and coordinates activities of senior managers and their respective functions. The Regional President represents the health plan externally and to governmental/external agencies, and advocates for the priorities of the region internally. The Regional President develops strategic plans for their region, makes decisions related to the implementation of those plans, and collaborates with internal partners to bring initiatives to fruition. This includes the following key responsibilities:
+ Develop product strategy for annual Medicare Advantage plan filings
+ Lead the expansion and support for value-based care and innovation with internal and external providers
+ Build collaborative partnerships with aligned internal business partners
+ P&L management, including the identification of key strategic business investments and capability development
+ Leadership of approximately 250 associates focused in the areas of Provider Contracting, Provider Engagement and Quality, Risk Adjustment, Clinical, and Financial Operations.
+ Leadership development, including mentoring for associates outside the Northeast team.
Use your skills to make an impact
Required Qualifications
+ 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
+ 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 reside or be willing to relocate to a state within the region, relocation will be provided
Preferred Qualifications
+ Master's or J.D. degree
+ Record of success leading provider contracting and provider engagement activities for all lines of business
+ Medicare Advantage experience
Additional Information
This position will require approximately 30% travel within the Northeast region.
Scheduled Weekly Hours
40
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
