Vice President, MSO Operations & Provider Services

Humana Inc; United States; À distance; USD 210 000 - 310 000; Plein temps

Résumé du poste

Humana Inc. through CenterWell Senior Primary Care seeks a strategic, senior leader to direct MSO operations and provider services across markets.

You will set the operating model, drive value-based care initiatives, and ensure scalable, high‑quality provider experiences while aligning clinical and business goals. The role requires extensive healthcare leadership, P&L accountability, and collaboration with clinical, growth, and technology leaders to deliver sustained enterprise value.

Qualifications

• Bachelor's degree required in Business, Healthcare Administration, Finance, Public Health, or related field.
• MBA/MHA/MPH or equivalent advanced degree preferred.
• Demonstrated ability to lead complex, matrixed organizations and multi-market programs.

Responsabilités

• Establish and execute the long-term vision, strategy, and operating model for MSO and IPA.
• Own P&L and drive revenue growth, cost control, and performance metrics.
• Lead provider engagement, onboarding, and scalable MSO operations across markets.
• Partner with Product, Technology, and Analytics to deploy provider-facing solutions.
• Develop leadership capability and culture focused on accountability and continuous improvement.

Connaissances

Executive leadership

Strategic planning

Stakeholder management

Change management

Data-driven decision making

Formation

Bachelor's degree in Business, Healthcare Administration, Finance, Public Health, or related field

MBA, MHA, MPH, or related advanced degree

Description du poste

Become a part of our caring community The Vice President, MSO Operations & Provider Services serves as the enterprise operations leader for CenterWell's Management Services Organization (MSO) and affiliated Independent Practice Association (IPA) business. This leader is accountable for operational performance, provider services, practice transformation, implementation excellence, and scalable execution across affiliated provider networks. Operating as a member of the MSO/IPA leadership triad, the Vice President partners closely with the Chief Medical Officer and Growth/Contracting leadership to translate strategic priorities into consistent operational results. The role serves as the primary owner of the operating model that enables provider engagement, program deployment, performance improvement, onboarding, and practice support across multiple markets. The MSO/IPA business is led through a collaborative leadership model: Clinical Leadership defines the clinical strategy, care models, and value-based care clinical outcomes. Growth, Strategy & Contracting Leadership drives strategy, network expansion, payer strategy, and commercial performance. Operations & Provider Services Leadership ensures operational execution, provider adoption, scalability, and performance sustainability. Together, the leadership triad shares accountability for business performance, provider success, and enterprise value creation. The Vice President is responsible for ensuring that approved clinical, growth, and value-based care initiatives are effectively implemented, adopted, measured, and sustained within affiliated practices. This leader drives operational excellence, provider experience, service delivery consistency, and organizational scalability while helping integrate business, clinical, and financial objectives into a unified operating model. Working closely with leaders across Clinical, Growth, Strategy, Finance, Technology, and Market Operations, the Vice President enables sustainable growth, operational efficiency, provider satisfaction, and enterprise value creation.

Key Responsibilities

• Enterprise Leadership & Strategy
  • Establish and execute the long-term vision, strategy, and operating model for the MSO and IPA business.
  • Serve as the operations leader and accountable owner for business performance, provider performance, and organizational growth.
  • Lead enterprise initiatives that advance value-based care, affordability, provider competitiveness, and market expansion.
  • Represent the organization with executive leaders, physician groups, provider organizations, and strategic partners.
• P&L Ownership & Business Performance
  • Own the IPA P&L and maintain accountability for revenue growth, profitability, medical cost performance, and operating results.
  • Develop business plans, budgets, forecasts, and investment strategies that drive long-term value creation.
  • Monitor key business, financial, provider, and operational metrics and implement strategies to improve performance.
  • Identify and execute opportunities to enhance growth, scale operations, and improve network economics.
• Provider Engagement & MSO Operations
  • Lead the national strategy for provider engagement and MSO service delivery.
  • Oversee provider onboarding, practice transformation, operational consulting, performance improvement, and provider support functions.
  • Ensure a consistent and scalable provider experience across all markets and practice segments.
  • Drive provider retention, engagement, and satisfaction while improving quality, affordability, and value-based care performance.
• Technology & Innovation
  • Partner with Product, Technology, and Analytics teams to develop scalable provider-facing solutions and operational capabilities.
  • Leverage analytics, automation, and digital solutions to improve provider performance, operational efficiency, and business outcomes.
  • Ensure technology investments align with strategic priorities and deliver measurable value.
• Organizational Leadership
  • Lead a large, matrixed organization through directors and individual contributors.
  • Build organizational capability through talent development, succession planning, leadership coaching, and workforce planning.
  • Foster a culture of accountability, innovation, collaboration, and continuous improvement.

Success in this position shall be measured across several key performance indicators including but not limited to:

• P&L performance
• Revenue and quality performance targets
• Consistency and efficiency of service delivery
• Practice retention and network growth
• Affiliate practice satisfaction
• Physician engagement/satisfaction

Required Qualifications

• Bachelor's degree in Business, Healthcare Administration, Finance, Public Health, or related field.
• 15+ years of progressive healthcare leadership experience.
• 7+ years leadership experience within an IPA, MSO, ACO, CIN, provider network, Medicare Advantage, population health, or value-based care environment.
• 5+ Years of experience in driving growth across a matrixed organization.
• Demonstrated P&L ownership or accountability for a major business segment.
• Proven success leading large, complex organizations and enterprise-wide initiatives.
• Proven record of achieving scalable outcomes with a focus on technology tools to scale.
• Proven success expanding and elevating the capabilities and performance of a multi-level team.
• Strong executive presence with demonstrated ability to influence providers, senior executives, and external stakeholders.

Preferred Qualifications

• MBA, MHA, MPH, or related advanced degree.
• Direct P&L ownership of an IPA, MSO, ACO, CIN, or similar provider organization.
• Experience leading multi-market provider networks and value-based care operations.
• Demonstrated success driving growth, provider performance, operational transformation, and profitability at scale.
• Demonstrated ability building strategic relationships with cross-functional partners, corporate and market functions, vendors, and providers.
• Highly collaborative mindset with the ability to engage diverse stakeholders and win their co-ownership in outcomes, including in “tough conversations.”
• Experience with major clinical IT platforms and complex electronic medical record platforms.
• Experience leading in a changing environment, with change management experience strongly desired.

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

Application Deadline: 10-21-2026

About us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well‑being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact apatient’s well‑being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer 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.