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Humana

Regional VP – Contracting

Humana

Regional VP managing development and operational results for CarePlus Health Plans. Establishing strategic plans and partnering with multiple departments to enhance provider networks.

Posted 4/24/2026full-timeRemote • Florida • 🇺🇸 United StatesLead💰 $203,400 - $279,800 per yearWebsite

About the role

Key responsibilities & impact
  • The Regional VP manages the development, operations, and results of a health plan.
  • The Regional VP establishes long-range goals, objectives, and plans; monitors financial and operational performance; and coordinates activities of senior managers and their respective functions.
  • Represents the health plan externally and to governmental/external agencies.
  • Decisions are typically related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes, and develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy.
  • The RVP partners closely with Medical, Network Operations, Finance, Product, Legal, and Market Leadership to deliver competitive, compliant, and high-performing provider networks across for the CarePlus Market.

Requirements

What you’ll need
  • Bachelor's Degree
  • 10 years of experience in the healthcare industry, with a strong preference for Medicare Advantage value-based models and 3–5 years of direct experience in the Florida market.
  • Proven track record of driving operational performance improvement and Senior Leadership experience
  • Proven experience developing multi-product strategy at the market level or higher.
  • Excellent verbal and written communications skills
  • Experience leading the end-to-end contract negotiation process through closure for all types of providers (physicians, hospitals, post-acute care facilities) and delegated specialty services.
  • Comprehensive 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.

Benefits

Comp & perks
  • 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

ATS Keywords

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Hard Skills & Tools
health plan financeoperational performance improvementmulti-product strategycontract negotiationrisk arrangementsMedicare Advantagevalue-based modelsprovider networksstrategic planningtalent development
Soft Skills
leadershipcommunicationinterdepartmental coordinationstrategic thinkinginfluencingteam developmentconsumer experience focuscollaborationproblem-solvingdecision-making
Certifications
Bachelor's Degree