FreshRemote.Work

Associate Director - Value-Based Specialty and Vendor Contracting Support

Remote US, United States

Become a part of our caring community and help us put health first
 The Associate Director - Value-based Specialty and Vendor Support role builds templates, standard documentation, policy and protocol, case studies, and disseminates best in class knowledge. The Associate Director requires a solid understanding of how organization capabilities interrelate across department(s). This role supports successful Value-Based specialty and vendor relationships by partnering with markets and key stakeholders to align on consistencies and standardization to contract templates, language negotiations, processes, and resources.

The Associate Director for Value-Based Specialty and Vendor Support's decisions are typically related to identifying and resolving complex deal structure and operational problems within contracts, and leads multiple highly specialized professional associates.

They will be directly responsible for the strategic direction, ongoing operational oversight, contract template support, market and DRI education/training for all lines of business.  Responsibilities include:

  • Manages a team of 4-8 Associates
  • Partners in the strategic development and implementation of operations, contract negotiations, approvals and processes, market and DRI education, and cross functional departmental leadership regarding non-PCP Value-Based templates across all segments (Medicare and Medicaid)
  • Creates and maintains VB vendor and specialty contract templates for across all segments (Medicare and Medicaid)
  • Collaborates with key stakeholders for successful VB specialty and vendor Medicaid programs by state
  • Lead senior-level conversations on contract structure and operational capabilities
  • Partner with various departments on creating standardization and consistencies in vendor and specialty deals


Use your skills to make an impact
 

Required Qualifications

  • 5+ years of experience in Contracting (build, language, or negotiation)
  • 3+ years of experience in value-based care
  • 2+ years of direct or indirect leadership experience
  • Experience in senior-level discussions and presentations
  • Clear oral and written communication skills

Preferred Qualifications

  • Bachelor's Degree
  • Experience with Humana’s internal systems and applications, such as Service Fund, Value Based Tracker, and/or Icertis
  • ​Experience with Medicaid state implementations

Additional Requirements

This role is considered "remote/work at home" and can be based Nationwide/State side.

 Work at Home Information

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 recommended; wireless, wired cable or DSL connection is suggested
  • Satellite, cellular and microwave connection can be used only if approved by leadership
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
    Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

 

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.  If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

Scheduled Weekly Hours

40

Pay 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.


 

$115,200 - $158,400 per year


 

This 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 05-29-2025
About us
 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.


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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

Apply

Job Profile

Regions

North America

Countries

United States

Restrictions

California Dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Illinois Montana Must meet internet speed requirements Remote US South Dakota Work from a dedicated space Work from a dedicated space lacking ongoing interruptions Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Work from home in specific states Work from Home in the state of California, Illinois, Montana, or South Dakota

Benefits/Perks

401k retirement 401k Retirement Savings Bonus Incentive Bonus incentive plan Caring community Competitive benefits Dental Disability Health first Holidays Internet expense reimbursement Life Life Insurance Medical Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Smart healthcare decisions Support whole-person well-being Telephone equipment provided Time off Vision Vision Benefits Volunteer time Volunteer time off Whole-person well-being Work From Home

Tasks
  • Communication
  • Create templates
  • Develop operations
  • Documentation
  • Educate stakeholders
  • Manage team
  • Negotiate contracts
  • Training
Skills

BI Business Communication Compensation Contracting Dental Documentation Education Healthcare Healthcare services HIPAA Implementation Insurance IT Leadership Life Insurance Medicaid Medicare Negotiation Operational Oversight Operations Organization Policy Policy Development Presentations Recruitment Strategic direction Support Technology Training Value-based care VB Vision Wellness Written communication

Experience

5 years

Education

Associate Associates Bachelor Bachelor's Bachelor's degree Business Communication Education Healthcare Higher IT Operations

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9