Humana National Vice President - Value Based Strategies in San Antonio, Texas

Role: National Vice President Assignment: Value Based Strategies Location: Anywhere in the country

Healthcare isn’t just about health anymore. It’s about caring for family, friends, finances, and personal life goals. It’s about living life fully. At Humana, we want to help people everywhere, including our associates, lead their best lives. We support our associates to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. At Humana, we’re seeking innovative people who want to make positive changes in their lives, the lives of our members, and the healthcare industry as a whole.

Assignment Summary The Provider Development and Value Based Strategies team offers a wide range of services designed to enhance strategic partnerships around provider reward and risk sharing models. Provider value based models are built on a continuum of increasingly complex and comprehensive care initiatives that are evaluated via data analytics and outcomes reporting. As the scope and scale of value based payment models increases, so does the potential for improved outcomes, efficiency and increased reimbursement, in addition to a better provider and consumer experience

We are currently seeking a National Vice President for Value Based Strategies. As a primary focus, this role will execute on our Value Base strategy and commitment to have 67% of our individual Medicare Advantage membership in value based models by end of 2018. In addition, this role includes the leadership and strategic direction to meet enterprise goals on specialty and hospital models while fostering Humana’s Integrated Care Delivery platform across all lines of business.

Key Responsibilities/Objectives: * Develop comprehensive knowledge of Provider Development & Value Base organization strategy, capabilities and best practices with deployment of the Integrated Care strategy within the Senior Products segment

  • Build internal relationships with business leaders across all segments to identify provider opportunities where integrated care (ACO) and value based contracting requirements are evolving

  • Act as a collaborative resource to coordinate cross-functional resources; Develop trust and credibility with National Contracting, Medical Management, MarketPoint (Medicare sales distribution), Senior Product Market Operations, Commercial Sales/Operations, and other core functions to develop and execute on strategies specific to defined providers and/or markets

  • Develop and modify provider development tools as needed to achieve success with providers serving commercial, Medicare and Dual-eligible members; Create a “unified” and consistent approach, including strategies which increase shared reward opportunities and integrate Humana’s health and well-being commitment into provider’s environment

  • Represent Humana as a progressive thought leader in the industry, with a focus on improving the provider and consumer experience.

  • Drive and support initiatives to position Humana as a leader in helping people achieve lifelong well-being and align this objective with business strategies supporting Provider Development & Value Base goals

  • Develop and communicate specific market growth strategies to Provider Development and National Contracting, including opportunities for Humana to insure greater financial success for providers via medical cost containment strategies and refined value base and risk contracting relationships

    Our Ideal Candidate: This role is uniquely positioned to influence health care leaders and other stakeholders to think differently about health and wellness. Enthusiasm and passion for improving the health care system and overall provider experience is required, as is a track record of building outstanding working relationships, implementing strategic objectives and achieving quality and financial performance objectives to grow a business. Key personal attributes include: ability to build consensus and inspire others to achieve outstanding results, willingness to set priorities and maintain strategic focus, maintain the highest standards of integrity and business ethics and desire for personal and team success.

    Role Essentials

  • Prior operational leadership experience within both managed care and provider environments, with comprehensive knowledge of health plan finance and the reimbursement arrangements between health plans and providers

  • Current perspective regarding payment reform initiatives and their impact on payer/provider business models is required, as it the ability to effectively articulate a strategy or value proposition to professionals across the continuum of health care business entities

  • Strong track record of building provider relationships and expanding business opportunities within a regional geography

  • Medicare and Commercial managed care experience is essential

  • Experience building and managing relationships with a wide variety of providers

  • Competencies such as big-picture visualization, critical thinking and sequencing (e.g., the ability to envision the product of complex business goals and work backwards to ensure all of the requisite steps and details are covered for successful achievement)

  • Minimum of 10 years’ experience developing forward thinking Value Base Contracts

  • Bachelor's degree in related field

    Role Desirables

  • Advanced degree in business or related field

  • Medicaid and Dual-Eligible experience Reporting Relationship This role reports to the Senior VP, Retail East and Provider Experience and provides leadership to a team of 4 Field Vice Presidents and 6 or more Strategic Consultants.

    Additional Information Role requires flexibility to travel as needed.

    At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place for you at Humana.

    After applying, we encourage you to join our Talent Network as well, so you can stay informed and up to date on what’s happening around our organization in the changing world of healthcare.

Title: National Vice President - Value Based Strategies

Location: Illinois-Chicago

Other Locations: US-Texas-San Antonio, US-Connecticut-Bridgeport, US-CA-Torrance, US-AZ-Phoenix, US-Minnesota-Minneapolis

Requisition ID: 190478

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.