Job Description
Become a part of our caring community
Humana's Provider Network Operations (PNO) organization is on a mission to simplify the way we work while enhancing provider data quality, elevating the provider experience, and leveraging AI, automation, and innovative technologies to solve complex operational challenges.
PNO is committed to driving enterprise-wide operational excellence by transforming how we support providers and market teams, creating more efficient, scalable, and streamlined processes that improve outcomes for our business, our providers, and the members we serve. You will report to the VP, Provider Network Operations.Responsibilities will include:
- Leading the development, and communication of the Provider Network Operations strategic roadmap, ensuring alignment with enterprise priorities and annual business objectives
- Driving cross-functional initiatives that improve provider data quality, provider experience, operational efficiency, and business outcomes across Provider Network Operations and partner organizations
- Identifying, prioritizing, and advancing transformation opportunities through process redesign, automation, artificial intelligence, and emerging technologies
- Translating strategic priorities into actionable plans, measurable outcomes, and governance processes that drive execution and accountability
- Establishing performance measures and reporting mechanisms to monitor strategic initiative progress, operational effectiveness, and value realization
- Engaging project and process management resources, as needed, to support large-scale strategic initiatives and organizational change efforts
- Developing executive-level communications, presentations, and recommendations to inform decision-making and highlight strategic progress, risks, and opportunities
Key Partnerships
You will collaborate closely with leaders across Provider Network Operations, Product Management, Technology, Analytics, Provider Relations, Market Operations, Legal, Compliance, and external vendor partners to advance strategic priorities and operational transformation initiatives.
Success in the Role Includes
- Advancing the Provider Network Operations strategy through successful execution of key transformation initiatives and measurable business outcomes.
- Improving provider and associate experiences through process simplification, innovation, automation, and data-driven decision making.
- Building strong partnerships across business, technology, and operational teams to drive alignment and execution.
- Influencing stakeholders at all organizational levels while fostering collaboration, accountability, and continuous improvement.
- Delivering actionable insights and strategic recommendations that improve operational performance and support enterprise objectives.
- Championing a culture of innovation, operational excellence, and customer-focused problem solving.
Use your skills to make an impact
Required Qualifications
- Bachelor's degree in Business Administration, Healthcare Administration, Operations Management, or a related field
- 10+ years of experience in strategy, operations, business transformation, program leadership, or a related discipline
- Healthcare experience
- Experience in management consulting, corporate strategy, business transformation, or operational excellence, with a proven ability to assess complex business challenges and develop scalable solutions
- Experience presenting to senior executives
- Experience driving results in a complex environment
- Experience building collaborative relationships and leading organizational change initiatives
Preferred Qualifications
- Experience within healthcare operations, provider network management, provider lifecycle management, or managed care organizations.
- Experience leading digital transformation, process optimization, AI, automation, or operational excellence initiatives
- Project Management Professional (PMP), Lean Six Sigma, Agile, or other relevant certification
- Experience partnering with technology and product teams to deliver innovative business solutions
- Knowledge of provider data management, provider onboarding, credentialing, contracting, or provider service operations.
Additional Information
This position will be on CST or EST hours.
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
40Pay 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.$138,900 - $191,000 per yearThis 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: 08-07-2026
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 at Humana.com and at CenterWell.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.
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