Regional VP, Provider Network Performance

1 week ago


Metairie, United States Humana Full time

Become A Part Of Our Caring Community And Help Us Put Health FirstThe Regional VP, Provider 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. Represents the health plan externally and to governmental/external agencies in the Gulf South Region. Decisions are typically related to intradepartmental coordination, development and implementation of strategic plans, business outcomes, which align with the Segment or Business strategy.The Regional VP, Provider Network Performance is responsible for the overall success of Stars and Risk Adjustment strategy and performance within the Gulf South region which includes Louisiana, Alabama, Mississippi, Tennessee and Southwest Virginia. As well as, provider relationships, provider performance, member experience, provider experience market growth, and operational excellence. The ideal candidate must live in the Gulf South Region (LA, MS, AL, TN or Southwest Virginia).Use your skills to make an impactRequired QualificationsBachelor's Degree7 plus years leadership experience in the healthcare industry with demonstrated success in leading and developing teams.Strong knowledge and understanding of Stars and Medicare Risk Adjustment.Ability to closely partner, build strong relationships and work effectively with corporate leadership teams and programs.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.Proven track record of driving performance improvement.Excellent communication skills, both oral and written.Ability to travel as needed.Must be passionate about contributing to an organization focused on continuously improving consumer experiences.Must reside or be willing to relocate to LA, MS, AL, TN or Southwest VirginiaPreferred QualificationsMaster's degreeProficiency in quality improvement processes, analyzing and interpreting financial trendsScheduled Weekly Hours 40Pay Range $168,000 - $231,000 per yearThis 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 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.About Us Humana Inc. 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.



  • Metairie, United States Humana Full time

    Regional Vice President (RVP) Provider ContractingHumana is seeking an accomplished healthcare leader for the position of Regional Vice President (RVP) Provider Contracting. The RVP will provide executive leadership to the Provider Contracting team that supports Humana's Medicare line of business in the Gulf South Region, which includes LA, MS, AL, TN and...


  • Metairie, United States Louisiana Staffing Full time

    Regional Vice President (RVP) Provider ContractingBecome a part of our caring community and help us put health first. Humana is seeking an accomplished healthcare leader for the position of Regional Vice President (RVP) Provider Contracting. The RVP will provide executive leadership to the Provider Contracting team that supports Humana's Medicare line of...


  • Metairie, United States OmniTRAX Full time

    VP of Transload Business DevelopmentReq #745California, USA•Denver, CO, USA•Dallas, TX, USA•Savannah, GA, USA•Jacksonville, FL, USA•Atlanta, GA, USA•Houston, TX, USAJob DescriptionPosted Monday, November 24, 2025 at 9:00 AMPOSITION SUMMARYThe VP of Transload Business Development leads strategic planning and execution for all rail transload...


  • Metairie, LA, United States Restorixhealth Full time

    JOB SUMMARY: The Vice President of Community and Provider Relations is responsible for developing and executing the firms' strategic plan to achieve same store sales growth targets and expand and retain provider referral relationships. The VP will work in partnership with field level corporate and regional leadership to develop and maintain a high performing...


  • Metairie, LA, United States Restorixhealth Full time

    JOB SUMMARY: The Vice President of Community and Provider Relations is responsible for developing and executing the firms' strategic plan to achieve same store sales growth targets and expand and retain provider referral relationships. The VP will work in partnership with field level corporate and regional leadership to develop and maintain a high performing...


  • Metairie, United States Centene Corporation Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ***NOTE: For this role we are seeking candidates who live in...


  • Metairie, United States Louisiana Healthcare Connections Full time

    Position Purpose Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue...


  • Metairie, United States Centene Corporation Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility. ***NOTE: For this role we are seeking candidates who live in Louisiana,...


  • Metairie, United States Louisiana Healthcare Connections Full time

    Position Purpose Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue...


  • Metairie, United States Oklahoma Complete Health Full time

    Provider Engagement Account Manager page is loaded## Provider Engagement Account Managerlocations: Remote-LA: Metairie - Metairie Ctr, 2424 Edenborn Ave, Ste 450 (11005): New Orleans-555 Rinard Rd, Bldg 555 (10616)time type: Full timeposted on: Posted 2 Days Agojob requisition id: 1616261You could be the one who changes everything for our 28 million members....