Director of Provider Operations (VA)

Humana Inc; Madison (WI); A distancia; USD 126.000 - 174.000; Jornada completa

Descripción de la vacante

Humana Inc. is seeking a remote Director of Provider Operations to oversee a large operations team supporting VA CCN Credentialing and Provider Data Loading.

You will define strategy, align with business goals, and drive efficiency while collaborating with Humana Military and Provider teams. The role requires a robust background in healthcare operations leadership, government-captured experience (DoD), and the ability to scale teams for new implementations.

Formación

• U.S. citizenship is required due to Department of Defense contract.
• Interim approval for NBIS background check required.
• Not eligible to hire in Puerto Rico under the government contract.
• Minimum 7 years of management of 15+ associates.
• Minimum 10 years of healthcare operations leadership experience.
• Minimum 5 years building a large-scale operations team for a new implementation.

Responsabilidades

• Lead and manage a large operations team supporting VA CCN Credentialing and Provider Data Loading.
• Define operational strategy and priorities aligned with business goals; ensure efficient, reliable, and cost-effective infrastructure.
• Collaborate across Provider teams and Humana Military to improve manual processes, data quality, and automation priorities; monitor KPIs, staffing, and capacity.

Conocimientos

People management

Healthcare operations

Large-scale implementation

VA/TRICARE experience

Provider data management experience

Educación

Bachelor's degree

Descripción del empleo

Become a part of our caring community

As a remote Director of Provider Operations you will report to an Associate VP of Strategy Advancement and manage a large operations team.

• You will be responsible for building, executing, and overseeing manual operations that support VA CCN Credentialing and Provider Data Loading.

• You will define operational strategy and priorities, align them with business goals and requirements, and ensure the infrastructure remains efficient, reliable, and cost-effective.

• You will collaborate across Provider teams and Humana Military to improve manual work, enhance data quality, guide automation priorities, and manage performance through KPIs, staffing, and capacity planning.

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.

• 7 years management of 15+ associates

• 10 years of healthcare operations leadership experience

• 5 years experience building a large scale operations team for a new implementation

Preferred Qualification s

• Bachelor's degree

• VA/TRICARE experience

• Provider data management experience

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.

$126,300 - $173,700 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 holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 10-14-2026

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.