Market VP, Provider Contracting

Become a part of our caring community and help us put health first

The Associate Vice President of Home Health Provider Contracting will lead a focused team responsible for negotiating and managing reimbursement agreements with managed care organizations and health plans across Commercial, Medicare Advantage, Medicaid, and other payer lines of business. This leader will set payment targets, define payer strategy, and operationalize core contracting principles and metrics for the home health business—progressing beyond fee-for-service toward value-based care and innovative payment models (e.g., shared savings, episodic models, capitation, pay-for-performance).

The role requires deep experience in payer or managed care contracting and the ability to translate contract terms into financial, clinical, and operational performance. Home health or post‑acute experience is preferred but not required.

• Oversee payer negotiations end-to-end for home health services: develop strategy, serve as chief negotiator, and secure favorable rates and terms across commercial, Medicare Advantage, and Medicaid contracts, including fee‑for‑service, episodic, and value‑based agreements.
• Set annual payment targets and portfolio strategy: define price/volume goals, prioritize payer opportunities, and construct multi‑year contracting roadmaps to grow margin and access.
• Own contract economics and analytics: oversee financial modeling, valuation, scenario analyses, and pro formas to inform deal strategy and renewals.
• Advance value‑based contracting: design and implement models such as shared savings, bundled/episodic payments, pay‑for‑performance, and new service models aligned to home‑based care.
• Build payer relationships and multi‑payer alignment: establish executive‑level relationships with plan counterparts; align on quality measures, reporting, and health equity standards to reduce administrative burden and improve outcomes.
• Translate contracts into operations: partner with Revenue Cycle, Finance, Clinical, and Operations to implement terms (authorization, billing rules, payment integrity), monitor payer performance, and resolve disputes.
• Work closely with Compliance and Legal: manage the papering, review, and signature process for all payer agreements; ensure timely execution, adherence to regulatory requirements, and proper documentation of amendments and renewals.
• Develop internal contracting discipline: ensure timely document execution, renewals, amendments, and partner with credentialing as applicable.
• Oversee payer performance metrics: track payer scorecards (rates, denials, underpayments, turnaround times), VBC metrics (readmissions, utilization, home health quality measures), and overall portfolio results.
• Mentor and develop the team: coach contracting and managed care team members in negotiation tactics, modeling, compliance, and payer relationship management; foster a culture of transparency and results.
• Ensure compliance and risk management: coordinate with legal on contract language, regulatory updates, and accreditation requirements; monitor adherence to CMS and payer policies.

Center Well, a Humana company, creates experiences that put patients at the center. As the nation’s largest provider of senior‑focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, Center Well is focused on whole‑person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), Center Well offers stability, industry‑leading benefits, and opportunities to grow yourself and your career.

We proudly employ more than 30,000 clinicians who are committed to putting health first — for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well‑being, all from day one.

The Home Solutions business segment is comprised of two major brands — Center Well Home Health (CWHH) and One Home (OH) with ~11,000 associates…