The VP Medicare Regional President will be responsible for the development and expansion of Humana’s business presence and financial success in Medicare’s Florida market. The Regional Market President manages the development, operations, and results for the entire state of FL. This leader will have responsibility for managing relationships with internal partners who partner to create success in Florida, as well as external providers who provide care to Humana’s Medicare and Medicaid members.
Will manage a team of 8 direct reports and about 550 total associates. This position reports the East Division Senior Vice President and must reside or be willing to relocate to South Florida. Orlando and Tampa locations will be considered.
This role will oversee a Medicare population of 700,000 members and partnerships with hundreds of hospitals and thousands of providers. The leader will manage a team of 8 direct reports and about 550 total associates responsible for managing the FL Medicare product strategy and P&L results; product design/innovation; provider network contracting, relationships and engagement; network operations; clinical operations and the health of our members; and the attainment of Stars scores and management of Risk Adjustment.
Responsible for the overall P&L management for the region, including monitoring clinical, financial, and key operational metrics.Propel growth and enterprise value by assessing competitive positioning, developing product strategy for the market, and translating these benefits into products offerings during the annual Medicare Advantage plan filing process.Partner closely with Product leadership to identify and communicate the need for improvements and changes in Humana’s products and services.Design and execute Provider contracting/management strategies to maintain market-competitive networks to support profitable growth.Lead the expansion and support for value-based care and innovation with internal and external providers.Build collaborative partnerships with aligned internal business partners, including the Medicaid business segment, clinical, national contracting, marketing, product, enterprise growth, sales, and others.Leadership development, including mentoring for associates outside the Florida team.Use your skills to make an impact
Required Qualifications
Bachelor's DegreeExtensive leadership experience in the healthcare industry specifically Medicare AdvantageProven track record of driving operational performance improvementProven experience developing multi-product strategy at the market level or higher.Knowledge of health plan finance and the compensation arrangements between health plans and providersKnowledge 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 responsibilityMust be passionate about contributing to an organization focused on continuously improving consumer experiences and member healthAbility to thrive and influence leaders and direct teams in a matrixed organization to achieve Medicare membership, financial, and clinical targetsCreate a culture of consistent process improvement and drive a profitable growth mindset across teams at the leadership level and down the organizationDevelop diverse teams and talent with broad capabilitiesExcellent communication skills, both verbal and written; ability to communicate effectively with all levels of a Fortune 50 CompanyMust reside or be willing to relocate to South Florida. Orlando and Tampa locations will be considered.Additional Information
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:Health benefits effective day 1Paid time off, holidays, volunteer time and jury duty payRecognition pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career development opportunitiesScheduled Weekly Hours
40About 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.
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