Regional VP - Health Services

6 days ago

🇺🇸 United States – Remote

⚜️ Louisiana – Remote

Although this job is listed in Louisiana, this company may be open to hiring remote in other states.

💵 $298k - $409.8k / year

⏰ Full Time

🔴 Lead

👔 Vice President

🦅 H1B Visa Sponsor

Apply Now

Receive Emails with Similar Jobs

Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

Description

•The Regional VP, Health Services relies on medical background to create and oversee clinical strategy for the region •Provides medical leadership and strategy for the Health Services Operations with fiscal responsibility for trend management •Oversee regional utilization management and case management for inpatient cases •Participate in Quality Operations including chair Quality Management Committee •Oversee administrative budget for regional HSO & Quality Improvement •Oversee Quality Improvement and HEDIS/STARS metrics improvement •Participate in regional level committees and meetings •Provide oversight and direction for the implementation of regional clinical programs and strategies •Manage internal operational/functional relationships related to profitability •Assist with network development and provider contracting •Serve as clinical liaison with inpatient facilities and joint operating committees •Well-versed on financial aspects of various levels of risk bearing contracts •Ability to thrive in a highly matrix environment

Requirements

•8 or more years of management experience •Must live in Louisiana and have a current/unrestricted Louisiana medical license and willing to obtain license, as required, for various states in region of assignment •MD or DO degree •Board Certified in an approved ABMS Medical Specialty •Excellent communication skills •5 years of established clinical experience •Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products •Possess analysis and interpretation skills with prior experience leading teams focusing on quality management, utilization management, discharge planning and/or home health or rehab •Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Benefits

•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 •Many other opportunities