RVP, Provider Contracting

Humana

RVP of Provider Contracting providing leadership for Humana's Medicare business in South Central Region. Requires extensive healthcare leadership and provider contracting experience.

Posted 5/1/2026full-timeRemote • Oklahoma, Texas • 🇺🇸 United StatesLead💰 $203,400 - $279,800 per yearWebsite

About the role

Key responsibilities & impact

provide executive leadership to the Provider Contracting team that supports Humana's Medicare line of business in the South Central Region
expect 35% travel in this role
live in the South Central Region (TX, OK, or AR) and consider qualified candidates who live adjacent to Texas
deep expertise with the provider community and contracting
extensive business leadership experience in a managed care environment leading contracting for Medicare products
comprehensive knowledge of health plan finance and the compensation arrangements between health plans and providers, including plan funding, risk management, and provider reimbursement.

Requirements

What you’ll need

Bachelor's degree
5 plus years leadership experience in the healthcare industry
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 across Medicare, Medicaid and Employer Group segments.
Knowledge of value-based 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
The ability to identify health service expenses and implement cost control mechanisms within contracts.
Experience identifying and recruiting providers to ensure network alignment with planned sales process execution, orienting providers and managing relationships, and driving improvement in provider satisfaction via education, communication and streamlining claims resolution.
Prior executive leadership experience in sales, finance, legal, health services, and/or medical management; demonstrated ability to partner across functions to create and deploy win/win strategies.
Recognition as a thought leader in the area of healthcare trend mitigation.
Ability to effectively navigate and manage through a matrixed organizational environment in a large (Fortune 250) company.
Strong relationship management skills, to teach, tailor, and take control of opportunity definition and initiation with business partners.
Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with audiences and positive representation of Humana in external forums.

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
many other opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

contract negotiationprovider reimbursementhealth plan financerisk managementvalue-based risk arrangementscost control mechanismsnetwork alignmentprovider satisfaction improvementhealthcare trend mitigationmanaged care

Soft Skills

executive leadershiprelationship managementtalent developmentcommunication skillsinfluencing skillsstrategic partnershipmatrix managementproblem-solvingteam leadershipaudience engagement

Certifications

Bachelor's degree