Director, Market Leadership

** Become a part of our caring community*
* As a remote Director, Market Leadership you will report to a Regional Vice President.

+ You will manage the TRICARE contract within an assigned geography which may be comprised of a multi-state area. This critical role links market-level strategic, operational and tactical actions for the success of Humana Military, the Defense Health Agency (DHA), Defense Health Networks (DHNs) and Military Treatment Facilities (MTFs).

+ You will oversee day-to-day TRICARE activities within a territory that includes designated Prime Service Areas (PSAs), Non-Prime Service Areas (NPSAs), MTFs, Coast Guard clinics, and National Guard and Reserve Units. Provide expert consultative services to DHN and MTF personnel to create and sustain a local high-quality integrated healthcare system congruent with the Military Health System (MHS) Quadruple Aim.

+ You will develop, influence, and implement strategies and courses of action that improve DHN/MTF optimization, a ready medical force and medically ready service members.

+ You will supervise TRICARE service delivery and network operations to include customer support and outreach activities, network adequacy, access to care standards, provider relationships, provider education, and provider management.

+ You will participate in the development of Alternative Payment Methodologies and Demonstration Pilots aligned to Value Base Care models.

** Use your skills to make an impact*
* ** Required Qualifications*
* + Our Department of Defense Contract requires U.S. citizenship for this position

+ Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)

+ HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico.

+ 5 years of leadership experience in the healthcare industry

+ Strategic planning experience

+ Experience in the Military Health System and/or with TRICARE contracts

+

Experience with fiscal stewardship or responsibility for managing cost trends

+ Network development and management experience

+ Managed Care experience

+ Experience coordinating the activities of diverse functions

+ Ability to work Central and/or Eastern Time Zone hours

** Preferred Qualifications*
* + Bachelor's degree

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:
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

** 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.

$138,900 - $191,000 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…