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Regional Vice President, Network Performance

Regional Vice President, Network Performance

HumanaNevada, IA, United States
4 days ago
Job type
  • Full-time
Job description

Become a part of our caring community and help us put health first

The Regional VP, Network Performance, manages the development, operations, and results of a health plan. The Regional VP requires an in-depth understanding of how organization capabilities interrelate across segments and the enterprise.

The Regional VP, Network Performance, establishes long-range goals, objectives, and plans, monitors financial and operational performance, and coordinates activities of senior leaders and their respective functions with a focus on Provider Engagement, Quality and Medicare Risk Adjustment. The RVP, Network Performance represents the health plan externally to governmental and external agencies. Decisions are typically related to intradepartmental coordination and development and implementation of strategic plans and business outcomes.

The Regional VP, Network Performance is responsible for the overall success of Stars and Risk Adjustment strategy and performance within a designated region. The Regional VP, Network Performance will also be responsible for overall provider relationships, performance and experience as well as member experience, market growth, and operational excellence.

The designated areas include the 6 state Pacific Southwest Region : CA, NV, AZ, CO, NM, HI. Preference will be given to those residing in Los Angeles, Phoenix, Denver and Las Vegas.

Required Qualifications

  • Bachelor's Degree
  • Extensive leadership experience in the healthcare industry
  • Proven track record of driving operational performance improvement
  • Proven experience developing multi-product strategy at the market level or higher
  • Excellent verbal and written communications skills
  • 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
  • Ability to travel as needed in the designated region : CA, NV, AZ, CO, NM, HI

Preferred Qualifications

  • Master's Degree
  • Residence in Los Angeles, Phoenix, Denver or Las Vegas
  • Travel : While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

    Scheduled Weekly Hours : 40

    Pay Range

    $168,000 - $231,000 per year

    This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.

    Description Of Benefits

    Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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.

    Application Deadline : 11-20-2025

    About Us

    Humana Inc. (NYSE : HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

    Equal Opportunity Employer

    It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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    Regional Vice President • Nevada, IA, United States

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