Humana Regional VP, Health Services in Austin, Texas

Description

The Regional VP, Health Services relies on medical background and reviews health claims. The Regional VP, Health Services requires a in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide.

Responsibilities

The Regional VP, Health Services provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Decisions are typically related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes, and develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy.

Required Qualifications

  • Master's Degree

  • 10+ years of technical

  • 8+ years of management experience

  • A current and unrestricted license in at least one jurisdiction and willing to obtain license, as required, for various states in region of assignment

  • MD or DO degree

  • Board Certified in an approved ABMS Medical Specialty

Preferred Qualifications

Additional Information

Scheduled Weekly Hours

40

About Us

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailboxtasrecruit@humana.com for assistance.