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Program Delivery Principal, Provider Network Operations
Remote / Online - Candidates ideally in
Boston, Suffolk County, Massachusetts, 02133, USA
Listed on 2026-08-08
Boston, Suffolk County, Massachusetts, 02133, USA
Listing for:
Humana
Remote/Work from Home
position Listed on 2026-08-08
Job specializations:
-
Business
Change Management, Business Analyst, Operations Management, Business Systems & Technology Analysis
Job Description & How to Apply Below
* Humana's Provider Network Operations (PNO) organization is on a mission to simplify the way we work while enhancing provider data quality, elevating the provider experience, and leveraging AI, automation, and innovative technologies to solve complex operational challenges.
PNO is committed to driving enterprise-wide operational excellence by transforming how we support providers and market teams, creating more efficient, scalable, and streamlined processes that improve outcomes for our business, our providers, and the members we serve. You will report to the VP, Provider Network Operations.
** Responsibilities will include:*
* + Leading the development, and communication of the Provider Network Operations strategic roadmap, ensuring alignment with enterprise priorities and annual business objectives
+ Driving cross-functional initiatives that improve provider data quality, provider experience, operational efficiency, and business outcomes across Provider Network Operations and partner organizations
+ Identifying, prioritizing, and advancing transformation opportunities through process redesign, automation, artificial intelligence, and emerging technologies
+ Translating strategic priorities into actionable plans, measurable outcomes, and governance processes that drive execution and accountability
+ Establishing performance measures and reporting mechanisms to monitor strategic initiative progress, operational effectiveness, and value realization
+ Engaging project and process management resources, as needed, to support large-scale strategic initiatives and organizational change efforts
+ Developing executive-level communications, presentations, and recommendations to inform decision-making and highlight strategic progress, risks, and opportunities
** Key Partnerships*
* You will collaborate closely with leaders across Provider Network Operations, Product Management, Technology, Analytics, Provider Relations, Market Operations, Legal, Compliance, and external vendor partners to advance strategic priorities and operational transformation initiatives.
** Success in the Role Includes*
* + Advancing the Provider Network Operations strategy through successful execution of key transformation initiatives and measurable business outcomes.
+ Improving provider and associate experiences through process simplification, innovation, automation, and data-driven decision making.
+ Building strong partnerships across business, technology, and operational teams to drive alignment and execution.
+ Influencing stakeholders at all organizational levels while fostering collaboration, accountability, and continuous improvement.
+ Delivering actionable insights and strategic recommendations that improve operational performance and support enterprise objectives.
+ Championing a culture of innovation, operational excellence, and customer-focused problem solving.
** Use your skills to make an impact*
* ** Required Qualifications*
* + Bachelor's degree in Business Administration, Healthcare Administration, Operations Management, or a related field
+ 10+ years of experience in strategy, operations, business transformation, program leadership, or a related discipline
+ Healthcare experience
+ Experience in management consulting, corporate strategy, business transformation, or operational excellence, with a proven ability to assess complex business challenges and develop scalable solutions
+ Experience presenting to senior executives
+ Experience driving results in a complex environment
+ Experience building collaborative relationships and leading organizational change initiatives
** Preferred Qualifications*
* +
Experience with in healthcare operations, provider network management, provider lifecycle management, or managed care organizations.
+ Experience leading digital transformation, process optimization, AI, automation, or operational excellence initiatives
+ Project Management Professional (PMP), Lean Six Sigma, Agile, or other relevant certification
+ Experience partnering with technology and product teams to deliver innovative business solutions
+ Knowledge of provider data management, provider onboarding, credentialing, contracting, or provider service operations.
** Additional Information*
* ** This position will be on CST or EST hours.*
* Work at Home Requirements:
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel:
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