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Remote Network Optimization Lead – Medicaid Value-Based

Remote / Online - Candidates ideally in
Peoria, Peoria County, Illinois, 61639, USA
Listing for: Humana
Remote/Work from Home position
Listed on 2026-08-22
Job specializations:
  • Management
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 115000 - 158000 USD Yearly USD 115000.00 158000.00 YEAR
Job Description & How to Apply Below

Humana is seeking a Network Optimization Lead in Illinois to drive network strategy for the Medicaid plan, analyze provider network performance, support contracting initiatives, and manage terminations with cross-functional teams.

Reporting to the Network Optimization Principal, you will lead governance meetings, ensure compliance with Illinois HFS requirements, and collaborate with Provider Relations, finance and clinical teams to advance value-based payment models.

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