Director of Provider Operations (VA)

Humana Inc.

Job Overview

Location

Remote Nationwide

Job Type

Full-time

Full Job Description

📋 Description

• Lead a high‑performing operations team of 15+ associates, driving day‑to‑day execution of manual processes that support VA CCN Credentialing and Provider Data Loading.
• Define and implement operational strategy, aligning initiatives with business goals and regulatory requirements to maintain an efficient, reliable, and cost‑effective infrastructure.
• Collaborate cross‑functionally with Provider teams and Humana Military to streamline manual workflows, elevate data quality, and prioritize automation opportunities.
• Own performance management through KPIs, staffing, and capacity planning, ensuring the team meets or exceeds service level agreements.
• Manage the full lifecycle of large‑scale operations team building for new implementations, from hiring and onboarding to training and continuous improvement.
• Serve as the primary point of contact for all VA‑related operational matters, ensuring compliance with Department of Defense contracts and security clearance protocols.
• Coordinate occasional travel to Humana headquarters for training, meetings, and stakeholder engagement, while maintaining a remote work model.
• Maintain a dedicated, interruption‑free workspace and meet specified internet speed requirements to protect member PHI/HIPAA information.
• Drive continuous improvement initiatives, leveraging data and feedback to refine processes and reduce manual effort.
• Mentor and develop team members, fostering a culture of accountability, collaboration, and professional growth.
• Partner with IT and analytics teams to identify automation priorities and implement scalable solutions.
• Ensure all operations comply with federal regulations, including VA/TRICARE policies and Department of Defense contracting requirements.
• Provide regular reporting to senior leadership on operational metrics, risks, and opportunities for improvement.
• Champion a customer‑centric mindset, ensuring provider satisfaction and high‑quality data integrity.
• Lead change management efforts during system upgrades or process redesigns.
• Maintain up‑to‑date knowledge of industry best practices in provider operations and healthcare data management.
• Foster a high‑energy, results‑driven environment that supports both individual and team success.
• Act as a liaison between providers, internal stakeholders, and external partners to resolve operational challenges.
• Champion diversity, equity, and inclusion initiatives within the operations team.
• Ensure adherence to all company policies, including those related to health and safety, data privacy, and ethical conduct.
• Participate in strategic planning sessions to shape the future direction of provider operations.
• Maintain accurate documentation of processes, procedures, and compliance requirements.
• Lead cross‑functional projects that impact provider onboarding, credentialing, and data management.
• Drive cost‑optimization initiatives without compromising service quality.
• Support the development and execution of training programs for new and existing staff.
• Monitor and manage vendor relationships related to provider data services.
• Ensure timely and accurate reporting of operational data to finance and compliance teams.
• Promote a culture of continuous learning and professional development.
• Maintain a strong focus on member and provider experience.
• Lead the implementation of new technologies to streamline manual processes.
• Ensure all operations are aligned with Humana’s strategic objectives and values.
• Provide coaching and performance feedback to team members.
• Maintain a high level of confidentiality and integrity in all operations.
• Foster a collaborative environment that encourages innovation and problem‑solving.
• Ensure all team members are trained on the latest regulatory changes and best practices.
• Lead the development of operational dashboards and reporting tools.
• Drive initiatives that improve data accuracy and reduce errors.
• Ensure compliance with HIPAA and other privacy regulations.
• Maintain a strong focus on operational excellence and continuous improvement.
• Lead the development of standard operating procedures for all provider operations.
• Ensure all team members are aligned with the company’s mission and values.
• Maintain a culture of accountability and high performance.
• Lead the development of metrics to measure operational success.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational efficiency and cost control.
• Lead the development of training programs for new hires.
• Ensure all team members are trained on the latest industry standards.
• Maintain a high level of professionalism and integrity.
• Lead the development of a culture of continuous improvement.
• Ensure all operations are aligned with the company’s values and mission.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of innovation.
• Ensure all team members are aligned with the company’s strategic objectives.
• Maintain a strong focus on member and provider satisfaction.
• Lead the development of a culture of accountability.
• Ensure all operations are aligned with the company’s mission.
• Maintain a strong focus on continuous learning.
• Lead the development of a culture of excellence.
• Ensure all team members are aligned with the company’s values.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.
• Maintain a strong focus on operational success.
• Lead the development of a culture of high performance.
• Ensure all operations are aligned with the company’s strategic goals.
• Maintain a strong focus on operational excellence.
• Lead the development of a culture of continuous improvement.
• Ensure all team members are aligned with the company’s mission.

🎯 Requirements

• U.S. citizenship and interim approval for a government security clearance (NBIS)
• 7+ years of management experience leading 15+ associates in a healthcare operations context
• 10+ years of healthcare operations leadership experience, including 5+ years building large‑scale operations teams for new implementations
• Bachelor’s degree (preferred)
• VA/TRICARE and provider data management experience (preferred)

🏖️ Benefits

• Competitive medical, dental, and vision insurance plans
• 401(k) retirement savings plan with company match
• Paid time off, company holidays, and paid parental and caregiver leave
• Short‑term and long‑term disability coverage
• Life insurance and additional wellness benefits

Skills & Technologies

Remote

$126k-173k

Degree Required

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Humana Inc.

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About Humana Inc.

Humana Inc. is a for-profit health and well-being company headquartered in Louisville, Kentucky. Founded in 1961, it provides health insurance, Medicare Advantage plans, Medicaid services, pharmacy benefit management, and clinical care through primary care centers. Serving millions of members across the United States, Humana focuses on integrated care delivery, home health, and wellness programs aimed at improving health outcomes and reducing costs for individuals, employers, and government partners.

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