Remote Principal, Provider Network Transitions Strategy

Humana Inc; Northern (KY); Hybrid; USD 139,000 - 191,000; Full time

Job summary

Humana, Inc. is seeking a Principal, Provider Network Transition Strategy to lead enterprise strategy for provider network changes and disruption management. This role partners across contracting, market operations, Stars, sales, and executive leadership to assess risk and drive readiness.

You will influence without direct authority, guide governance, and develop cross-functional mitigation strategies while focusing on member access and provider experience across Humana’s network.

Qualifications

• 7+ years of experience in provider contracting, provider network management, healthcare operations, or related strategy roles.
• 3+ years of project, program, or people leadership experience.
• Experience influencing leaders and driving results in a matrixed environment.
• Ability and willingness to travel up to 10% and reside in the Central or Eastern Time Zone.

Responsibilities

• Lead Humana's enterprise strategy for provider network transition and disruption management initiatives.
• Serve as the enterprise lead for provider termination and provider network transition programs, ensuring cross-functional alignment.
• Partner with multiple stakeholders to develop and implement mitigation strategies.
• Proactively identify provider network risks and opportunities for executive leadership.

Skills

Provider contracting

Provider network management

Healthcare operations

Healthcare strategy

Cross-functional collaboration

Executive communication

Data-driven decisions

Education

Bachelor's degree

Job description

Humana, Inc. is seeking a Principal, Provider Network Transition Strategy to lead enterprise strategy for provider network changes and disruption management. This role partners across contracting, market operations, Stars, sales, and executive leadership to assess risk and drive readiness.

You will influence without direct authority, guide governance, and develop cross-functional mitigation strategies while focusing on member access and provider experience across Humana’s network.