Humana
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.
Regional VP of Health Services
Location
Alabama + 3 moreAll locations: Alabama, Louisiana, Mississippi, Tennessee
Posted
2 days ago
Salary
$327.7K - $450.6K / year
Postgraduate Degree5 yrs expEnglish
Job Description
• Serve as the senior clinical executive responsible for shaping and executing the region’s clinical engagement strategy
• Drive quality improvement, cost efficiency, and population health outcomes through strategic provider partnerships, data-informed decision-making, and cross-functional collaboration
• Cultivate and maintain trusted relationships with CMOs and senior executive/clinical leaders at provider and care delivery partner organizations
• Serve as lead clinical executive for provider groups, translating clinical and quality priorities into actionable strategies
• Enhance innovation with hospital systems while fostering collaboration and reducing operational barriers
• Drive population health initiatives to improve the health and well-being of our members
• Collaborate with finance, analytics, and market leadership to identify cost and quality outliers and implement targeted action plans
• Provide clinical input into network development, contract negotiations, and delegation oversight
• Represent the organization in regional health coalitions and community health initiatives
• Lead regional implementation of clinical focused strategic programs
Job Requirements
- Active MD or DO licensure with appropriate training and certification
- 5+ years clinical practice
- 5 + years in managed care industry, either provider or payer
- Thorough knowledge of health care utilization and quality metrics and the impact value-based contracting has on provider behavior and performance
- The ability to quickly monitor clinical metrics and convey the impact verbally and in writing
- Proficient communication skills, including interpersonal, written and presentation, and the ability to promote complex material in a way that can be understood and acted upon by others
- Strategic thinker with the ability to balance long-term vision and short-term execution
- Established track record of building successful teams and cross departmental relationships
- Travel required 30-35%
Benefits
- 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
