Provider Network Transition Strategy Leader

Humana Inc; Nashville (TN); Remote; USD 139,000 - 191,000; Full time

Job summary

Humana Inc. seeks a Principal, Provider Network Transition Strategy to lead enterprise initiatives affecting member access and provider relationships. This role partners across contracting, market operations, and executive teams to assess risk, drive readiness, and mitigate disruption events.

Candidate will steer large-scale programs, influence without direct authority, and align cross-functional teams to improve provider and member experiences while reducing operational risk.

Qualifications

• 7+ years in provider contracting or related strategy roles.
• 3+ years of project, program, or people leadership.
• Experience in Medicare Advantage and/or Medicaid environments.
• Experience leading cross-functional initiatives.
• Ability to influence without direct authority.
• Experience using data to drive executive decisions.
• Strong communication with senior leaders.
• Willingness to travel up to 10%.
• Must reside in Central or Eastern Time Zone.

Responsibilities

• Lead enterprise strategy for provider network transition and disruption management.
• Serve as enterprise lead for provider termination and transition programs.
• Partner with key stakeholders to develop mitigation strategies.
• Identify emerging risks and advise senior leadership.
• Improve provider and member experience during transitions.
• Facilitate executive governance and decision-making.
• Develop enterprise visibility through reporting and analytics.
• Evaluate impacts on member access, retention, and Stars performance.

Skills

Provider contracting

Provider network management

Healthcare operations

Healthcare consulting

Cross-functional leadership

Matrixed environment

Data analytics

Executive communication

Travel readiness

Time zone residency

Education

Bachelor's degree

Job description

Humana Inc. seeks a Principal, Provider Network Transition Strategy to lead enterprise initiatives affecting member access and provider relationships. This role partners across contracting, market operations, and executive teams to assess risk, drive readiness, and mitigate disruption events.

Candidate will steer large-scale programs, influence without direct authority, and align cross-functional teams to improve provider and member experiences while reducing operational risk.