Become a part of our caring community and help us put health first
 

Humana is looking for a Vendor Management Lead with experience in healthcare services to work as a liaison between our vendor partners in the Northeast region and our market clinical operations teams. This is a remote work opportunity, and we are looking for cross-functional leadership, vendor relations and healthcare payor experience.

The Vendor Management Lead serves as a key leader overseeing vendor partner management activities within the market. This professional will ensure strategic alignment between Humana's business objectives, clinical operations, vendor partners, and providers. Main responsibilities include the following:

• Provide direction and operational support to healthcare service vendor partners
• Collaborate with internal program teams to manage vendor activities tied to quality and risk adjustment goals.
• Collaborate with Provider Engagement teams to monitor and evaluate outcomes for Value Based and Delegated Services Providers, ensuring the delivery of high value, coordinated services across the region.
• Manage vendor deliverables, contractual obligations, and service-level agreements.
• Track, prioritize, and oversee a high volume of vendor activities while supporting internal Humana partners.
• Identify issues, communicate findings, and influence process improvements.
• Facilitate issue resolution, identifying and addressing process gaps, and optimizing workflows to enhance the quality of care and promote operational excellence.

Use your skills to make an impact
 

Required Qualifications

• Bachelor's degree or an equivalent combination of education and work experience
• 3 or more years of progressive healthcare experience
• 3 or more years of vendor relations experience
• 2 or more years of leadership experience
• Proficiency communicating across all organizational levels
• Experience having crucial conversations that improve performance and maintain relationships
• Experience interpreting and using data to problem solve and influence others

Preferred Qualifications

• Licensed Registered Nurse (RN), with no disciplinary action
• Experience in Medicare Risk Adjustment
• Certification with Six Sigma and/or the Project Management Institute
• Prior experience in an insurance setting
• Grievance and Appeals experience
• 5-10% travel within the market (Northeast)

Work-at-Home Information

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Process

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are an associate, HireVue will send communications to your last email associated with your HireVue candidate profile. Please check both your Humana email and your personal email for HireVue (noreply@mail.modernhire.com). You can update the email address for your HireVue account if needed.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

 

$94,900 - $130,500 per year

 

This 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.

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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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.