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Strong fit if you know healthcare networks and can consult senior stakeholders in a large payer environment, on-site in the Albany State Office Campus area.
As a Senior Healthcare Network Consultant at Humana, you would typically advise on provider network design and performance, work with clinical and operations partners, and help keep network access, quality, and cost goals aligned for Humana members and employer clients.
Strengthen managed-care network fundamentals: provider contracting concepts, network adequacy, utilization and quality metrics, stakeholder communication, and analytics for access and cost trends. No certified training path was supplied for this listing.
No. The listing is non-remote and tied to the Albany County / State Office Campus location.
Humana is a major U.S. health insurance company focused on health plans and related care services.
Experience with provider networks, managed care, and consulting-style problem solving is most relevant.
Website: humana.com
Humana Inc. is an American for-profit health insurance company based in Louisville, Kentucky. In 2024, the company ranked 92 on the Fortune 500 list, which made it the highest ranked company based in Kentucky. It is the fourth largest health insurance provider in the U.S.
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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 Apply now through this listing to join our healthcare consulting team at Humana's Ny State Campus in Albany County.
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