Humana

Regional Vice President – Health Services

Humana

full-time

Posted on:

Location Type: Remote

Location: North CarolinaSouth CarolinaUnited States

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Salary

💰 $327,700 - $450,600 per year

Job Level

About the role

  • Create and oversee clinical strategy for the region
  • 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
  • Collaborate with finance, analytics, and market leadership to identify cost and quality outliers and implement targeted action plans
  • Partner with national innovation teams to pilot and scale emerging technologies and care models
  • Collaborate with vendor partnerships and evaluate performance against clinical and financial KPIs

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 25-30%
  • Reside within and willing to travel within the region’s geographic boundaries to include VA, NC, SC, and GA
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
  • opportunities for personal wellness and smart healthcare decisions
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
clinical strategyquality improvementcost efficiencypopulation health outcomesdata-informed decision-makingclinical metricsvalue-based contractingmanaged carehealth care utilizationKPI evaluation
Soft Skills
communication skillsinterpersonal skillspresentation skillsstrategic thinkingteam buildingcross-departmental collaborationrelationship managementverbal communicationwritten communicationcomplex material promotion
Certifications
MD licensureDO licensure