Regional VP, Operations (Central West Region)
Humana

Job Info

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Description

Humana is an $80 billion (Fortune 41) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being, Humana embraces a focus on stimulating positive individual and population changes while nurturing a sense of security, enabling people to live life fully and be their most productive.

Against that backdrop, we are seeking a talented leader to join our team as Regional VP, Operations (RVP) for our Central West Region, which is comprised of Colorado, Arizona, and New Mexico. The RVP will drive optimization of business results, oversee day-to-day operations for the region, strategic planning, and address specific business performance issues. He/she will work with Actuary, MRA, Corporate Finance, Clinical, and Market Point internally, and with providers externally. This often requires collaboration across a highly matrixed organization and fostering key relationships with business stakeholders. As such, this position requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide. In addition, the RVP collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. Decisions made by the RVP are often related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes that are aligned with the Segment or Business strategy.

The RVP will report directly to the Medicare Regional President and will lead a small four-person team. We strongly prefer that this position be based in our office in Centennial, CO, but we may consider other locations within the Region on a case-by-case basis. Relocation assistance will be provided.

Responsibilities

Key Responsibilities

--Oversees the bid process

• Analysis of competitive intelligence
• Gathering broker and sales team feedback
• Developing and evolving strategies to achieve growth and underwriting margin goals.
• Building and reviewing bid tools, data and calculations
• Communicating strategies to various stakeholders and Humana leaders
• Various ad hoc analysis

--Oversight of the provider financial performance

• Regular reporting
• Settlement calculations
• VB contract modeling
• Reviewing provider contracts
• Attending executive JOCs
• Ad hoc provider questions and presentations

--Budgeting and reporting

--Developing and reviewing various strategic initiatives

Key Candidate Qualifications

The ideal candidate will possess extensive (typically 10+ years) experience in the healthcare industry, with a focus on value-based contracts, along with significant leadership experience (typically 8+ years). He/she will have an accounting or actuarial background, and solid knowledge of complex accounting and financial transactions for internal and external reporting. In addition, this person will have a record of success in leading and managing special projects that involved numerous cross-functional partnerships. A Bachelor's degree is required.

In addition to the above, the following technical qualifications and personal attributes are sought.

• Experience leading departmental activities to ensure accurate and timely accounting, financial and statistical reports
• Prior experience developing methods and criteria for measuring and summarizing data for complex analyses
• Ability to build team cohesion, operational discipline and relationships with providers and across departments and lines of business.
• A strong focus on details at times, but also the ability to present at various levels of detail based on the audience.
• Excellent oral and written communications skills at all organizational levels, including the ability to skillfully convey technical concepts to non-technical audiences.
• The polish, poise, and executive presence to interact effectively with senior and executive level audiences internally and to represent Humana effectively externally.
• Highly collaborative mindset and excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs and win their co-ownership in the outcome
• Must have a strong drive to build a culture of continuous improvement, mutual respect and collaboration.
• Must have an emphasis on building processes and efficiency.
• Must be passionate about contributing to an organization focused on continuously improving provider and consumer experiences
• Master's degree, CPA designation, and actuarial certification are strong plusses.
• We will requirefull COVID vaccination for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.
• If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. Requests for these exemptions should be submitted at least 2 week prior to your scheduled first day of work.

Scheduled Weekly Hours

40

Colorado Pay Range

The compensation range represents a good-faith estimate of annualized starting pay at the time of posting based on a full-time 40-hour workweek and may vary based on geographic location and/or employment type. Individual pay decisions will vary based on demonstrated job-related skills such as education, experience, certifications, etc.

176,800-243,175

Pay Type
Salary

Incentive
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.

This job has expired.