Director, Payor Operational Readiness

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The Director, Payor Operational Readiness plans for all aspects of payor contracted operations and oversees implementation, ensuring contractual obligations are met. Develops and oversees processes that are scalable and drive performance, efficiency, and alignment with organizational goals. Provides vision, direction, and leadership for large-scale implementation efforts that span functions and business segments. Serves as a key advisor to senior leadership on execution of operational initiatives related to payor contracts.

The Director, Payor Operational Readiness oversees the design and execution of operational strategies that advance organizational priorities and operational excellence and meet contractual obligations. Leads cross-functional teams in identifying opportunities, defining objectives, and implementing initiatives that deliver measurable business impact and meet contractual obligations. Develops operational implementation frameworks, governance models, and performance metrics to guide execution and accountability. Partners with executives and senior leaders to ensure initiatives are scalable, contractually aligned, and aligned with organizational strategy and long-term goals. Provides expert consultation on operational implementation methodologies, organizational design, and change management practices. Oversees resource planning, budget development, and implementation of best practices to achieve sustainable results. Leads development of communications, reporting, and executive updates to share outcomes, insights, and recommendations. Builds a culture of innovation, collaboration, and continuous improvement across departments. Exercises strategic judgment and decision-making to address complex challenges and ensure successful delivery of transformation outcomes at scale.

Use your skills to make an impact

Required Qualifications

• Bachelor's Degree

• Proficiency in business consulting and operational leadership experience

• Strong business and financial acumen

• Comprehensive knowledge of all Microsoft Office applications, including Word, Project and Visio or Lucid chart

• Exceptional communication and interpersonal skills with the ability to quickly build rapport at all levels within the organization

• Ability to interact with and defend position with senior management and front line associates

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Master's degree or other graduate degree

• Experience in healthcare services

• Six Sigma Black Belt and Agile certification

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

$168,000 - $231,000 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: 12-30-2026

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 a patient'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 at?CenterWell.com.

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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.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options