Senior Healthcare Network Consultant

Join Humana as a Senior Healthcare Network Consultant based at our Ny State Campus in Albany County, where you'll drive measurable improvements in provider performance and healthcare quality across our network.

About the Role

This full-time position offers the opportunity to shape healthcare delivery through strategic provider partnerships. Working with the Manager of Network Performance, you'll analyze network performance data, identify improvement opportunities, and collaborate with providers to enhance clinical outcomes and operational excellence. Your expertise will directly influence the quality of care delivered to members and the success of our provider partners.

What You'll Do

• Develop and execute strategic initiatives to improve provider performance metrics and STARS ratings
• Partner with healthcare providers to analyze performance data and design targeted improvement plans
• Build and maintain strong relationships with provider leadership, serving as a trusted consultant
• Monitor quality metrics, clinical performance benchmarks, and member satisfaction indicators
• Conduct comprehensive performance assessments and deliver actionable recommendations
• Track industry trends and best practices to optimize network performance strategies

What We're Looking For

• Demonstrated experience in healthcare network management and provider relationship management
• Proficiency analyzing healthcare data and translating insights into improvement strategies
• Strong communication skills and ability to influence senior healthcare leaders
• Knowledge of healthcare quality frameworks, value-based care models, and regulatory requirements
• Strategic orientation with a track record of driving operational and clinical improvements
• Bachelor's degree in Healthcare Administration, Business, or related field

About Humana

Humana is committed to advancing the healthcare industry through innovative provider partnerships and a focus on delivering high-quality member care. We partner with healthcare professionals and organizations to build a healthier future for the communities we serve.

How to Apply

To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there.