Provider Network Optimization Lead
Humana(25 days ago)
About this role
The Lead, Provider Network Optimization oversees the strategic development and maintenance of the South Carolina Medicaid and Dual Special Needs Plan provider network for Humana. The role focuses on optimizing network value and ensuring compliance with state and contract requirements, reports to the Chief Operating Officer, and is remote with preference for candidates located in South Carolina.
Required Skills
- Provider Network
- Contracting
- Network Optimization
- Value-Based Contracting
- Data Analysis
- Provider Relations
- Compliance
- Stakeholder Management
- Project Leadership
Qualifications
- Bachelor's Degree
- Master's Degree
About Humana
humana.comExplore Medicare plans and health insurance coverage to fit your lifestyle. Turning 65 or recently qualified? Sign up for Medicare coverage! Start with healthy, start with Humana.
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