Job Opportunities in United States


September 16, 2024

Humana

FULL TIME


AVP, Provider Process and Network Operations Transformation Office

Become a part of our caring community and help us put health first
Humana is a dynamic and innovating organization that is transforming Healthcare. We are on a hunt for an exceptional leader that will own the transformation of how we work in Provider Process and Network Operations (PPNO). As an Associate Vice President of Transformation, this leader won’t just be leading a team, but also building the strategy and refining the way we work across the organization. This leader will be introducing a prioritization process, caring for vendor management, change management and training across the organization and will be responsible for project management. We are looking for a leader who can help us build the future state of how we support providers and make is easier for Associates to do their job. This is an opportunity to truly help us transform the way we solve problems and to help us build the future of the provider experience across the PPNO lifecycle.

The ideal candidate has led product teams, project management, strategy and possibly technology teams.
Responsibilities:
  • Facilitate development of an integrated strategy and vision for the provider experience across PPNO
  • Bring extremely strong product management and technical skills to bear as we invest in technology solutions that positively impact our consumer experience.
  • Lead and guide teams through all phases of the product life cycle, from inception to introduction into the marketplace, by developing products to meet specific customer needs and to achieve specific cost and success outcomes.
  • Owns the vendor management strategy and helps coordinate and hold all vendors accountable to performance
  • Build a prioritization process that the entire PPNO function uses to determine what work is highest and best use for the team quarter to quarter.
  • Adjusts and advances product portfolio over time to continue achieving product goals and outcomes as well as to drive innovation through anticipating customer needs and desired outcomes.
  • Provides strategic direction and leadership to multiple teams across the program to ensure solutions meet the needs of multiple businesses and associated customers and aligns with company’s goal
  • Act as a strong advocate of our new ways of working helping the organization adapt from a change management perspective
  • Owns process management across PPNO ensuring that processes are documented and that we are always looking at how to solve problems in a different way
  • Owns training strategy and implementation across PPNO teams. Transforms how we train our team members today to keep them aware of the latest and greatest developments.
  • Play a critical role in influencing senior leadership on the future-state.
  • Work closely with key business partners to build capabilities and prioritize investments.
  • Foster strong partnership with different business segments across organization.
  • Bring industry leading product management practices, tools, and processes to the organization to enhance efficiency and product quality.
  • Plan and manage implementation of improvement initiatives, working with relevant peer teams and business stakeholders. Coordinate and lead through influence.


Use your skills to make an impact

Required Qualifications
  • Bachelor’s degree
  • 2 plus years of experience as a product leader at an executive level
  • 7 plus years of management experience
  • 7 plus years of experience managing large scale, strategic projects and cross functional teams
  • In depth knowledge of product management best practices, consumer experience tools, methodologies and framework
  • In depth knowledge of process design
  • Curiosity of continually looking for improvements and innovative, new solutions
  • Ability to influence and drive change across large, matrix organization
  • Connect across the segment and enterprise to leverage and maximize Humana’s strengths and capabilities to improve the experience
  • Viewed as partner and advocate with other process and operational leaders
  • Make decisions and set agenda for delivering on outcomes, and articulate barriers and challenges and create strategic scenarios for analysis and discussion.
  • Strong strategic thinking and problem-solving skills, with the ability to balance short term needs with long-term goals.
  • Excellent communication and negotiation skills, capable of interacting with both technical and non-technical stakeholders
  • Clear and concise oral and written communication skills and strong interpersonal skills
  • This can be a remote position. However, must reside in Mountain, Central or Eastern Time Zone, not Pacific. Louisville, Ky is preferred location.

Preferred Qualifications
  • Consulting firm experience
  • Health or Managed care experience

Additional Information
  • This AVP will report to the VP, Provider Process and Network Operations Transformation and will have 6 direct reports and 35 total.
  • 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 1
    Paid time off, holidays, volunteer time and jury duty pay
    Recognition pay
    401(k) retirement savings plan with employer match
    Tuition assistance
    Scholarships for eligible dependents
    Parental and caregiver leave
    Employee charity matching program
    Network Resource Groups (NRGs)
    Career development opportunities

Scheduled Weekly Hours

40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$181,200 - $249,300 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.

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 Center Well 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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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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