Role: Provider Contracting Vice President Assignment: National Contracting Location: Louisville, KY or US
Are you a fit? Are you a strategic thinker and a proven leader? Would you enjoy using your business knowledge to create, implement and oversee tactical plans at the regional and national levels? If this sounds like you, then read on!
Assignment Capsule As a Provider Contracting Vice President you will oversee the development and implementation of short and long term tactical plans, align regional goals with company-wide objectives. You will also manage associate performance, financial budgets and departmental contribution levels within your local unit. * Ensure that corporate, health plan and work unit goals are achieved in a timely, effective and efficient manner.
Develop and implement specific network strategies that will improve both network scope and unit cost position.
Support associates in their efforts to effectively influence providers by leveraging Humana’s value proposition, participating in negotiations and resolving complex issues with high profile provider groups, Independent Practice Associations and Physician Hospital Organizations.
Serve all Segments of Humana.
Governance of National Network Operations policies and procedures to assure compliance and consistent approaches in the markets.
Create and maintain associates/contractors competancies in contracting and compliance with National Network Operations Standards.
Manage a robust training program for those new to contracting and those that are experts in contracting.
Maximize the Contract Management System to assist in compliance with Contracting rules and procedures and to ensure Data Integrity, preservation and retrieval of documents.
Use new ways to use contracting approaches to derive new trend bender opportunities for greater results. Key Competencies
Builds Human Capital: You deliver current, direct, complete and actionable feedback to associates to support continuous learning and growth; while ensuring that diverse perspectives are widely held, modeled and promoted. By selecting, deploying, developing and rewarding diverse talent, you are able to foster Humana’s strategy and meet business requirements.
Sees the Whole System: You understand and effectively influence the multiple processes and components of the organization, its stakeholders and environment; acting in ways that optimize business performance.
Leadership: You inspire extraordinary results by: engaging associates, valuing diversity and shaping culture to support a high performance environment.
Champions the Customer: You keep closely attuned to the needs and perspectives of customers and use this insight for the benefit of the business.
Deep understanding of contracts, contracting processes, policies and procedures.
Bachelor’s Degree in Business, Health Care Administration or a related field
Advanced experience in the health solutions industry, with specific experience in the areas of managed care contracting, provider relations, and hospital administration
Experience with risk contracting, and leading Medicare and Commercial network development for large geographic regions
Strategic planning and health plan operations experience
Strong financial acumen
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and Access Role Desirables
Title: National Contracting Field VP-Louisville
Requisition ID: 190392
Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We also provide free language interpreter services. See our full accessibility rights information and language options.