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
Scheduled Weekly Hours
40Pay 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.
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
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.