Regional VP of Health Services
Humana
full-time
Posted on:
Location Type: Remote
Location: Alabama • Louisiana • United States
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Salary
💰 $327,700 - $450,600 per year
Job Level
About the role
- 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
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical engagement strategyquality improvementcost efficiencypopulation health outcomesdata-informed decision-makingclinical metrics monitoringvalue-based contractingnetwork developmentcontract negotiationsdelegation oversight
Soft Skills
interpersonal communicationwritten communicationpresentation skillsstrategic thinkingteam buildingcross-departmental collaborationrelationship managementinnovation enhancementactionable strategy developmentcomplex material promotion
Certifications
MD licensureDO licensure