Vice President, PCO MSO and Value Based Services

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 Provides executive leadership to Humana, leading multiple critical areas across growth and operations supporting the CenterWell Primary Care Organization.

               

The VP, Contracting, Credentialing, Value Based and MSO Growth is responsible for leading multiple critical areas across growth and operations supporting the CenterWell Primary Care Organization’s wholly owned clinics, independent practices, and CWMG including:

• Continue to accelerate growth of national MSO focused on senior based care and determine the strategy to optimize and grow regional independent physician associations (IPAs) in partnership with executive, and market leadership.

• Lead IPA product strategy, tech enablement and specialty wrap around strategy

• Lead national contracting for PCO building relationships with national and local payers.

• Leading Original Medicare strategy and operations for the enterprise including ACO Reach/LEAD, MSSP, ACCESS, etc.

• Leading and transforming provider Credentialing and payor enrollment function

Growing CenterWell is a key priority for the enterprise and the growth and transformation of the IPA business is the cornerstone of this strategy.  We have tremendous untapped opportunity to allow PCPs to stay independent yet being able to participate in value based contracts and have access to tools and service that will allow them to thrive. In doing so, CenterWell can accelerate value based care transformation nationally.

We are seeking an individual who will bring exceptional leadership and vision, assume responsibility for staff leadership, and develop highly collaborative relationships with external partners, executive PCO leadership team and the local IPA and wholly owned market leadership teams across both business and clinical operations.  The incumbent in this job must form key relationships, both internally with PCO and externally in all markets, with physicians, specialists, hospital networks and health plans across several markets.

Use your skills to make an impact
 

Responsibilities:

In this role you will:

• Create and build out national MSO and market-based IPA strategies, and products for Primary Care Organization. Key initiatives including setting performance standards, deploying strategies to grow membership, proactively identifying value-added partners, creating high value products, and enabling expansive networks.

• Develop innovative partnership opportunities with primary care practices in the marketplace to grow our Managed Service (MSO) business, including identifying partnerships, and recruiting sought-after IPAs.

• Explore opportunities to grow the IPA business inorganically to accelerate capability development and/or accelerate market capture.

• Assume joint responsibility for the financial performance (P&L) of the MSO, IPA growth, including setting KPIs, developing long term plans to meet financial targets.

• Responsible for the PCO Contracting function. Develop multi-year, mutually beneficial strategic partnerships externally with health plan payers, brokers and community partners in the market with sensitivity to potential partnership & growth opportunities.

• Oversee the development and growth of CenterWell’s OM book of business across all value based programs current and future.

• This role is responsible for developing detailed national, and market strategies which align to the overall goals of the Primary Care Organization.

• Collaborate with market clinician and operations leadership to determine initiatives that will drive clinical performance, improve health outcomes, grow and retain membership, and reduce claims cost.

• Oversee and support the transformation and technology enablement of the PCO Credentialing function.

• Partner in dyad structure with operations and clinical leadership of all existing IPA practices across 7+ states.

Success in this position shall be measured across several key performance indicators including but not limited to:

• Financial and Clinical outcomes

• Operational performance outcomes

• Membership growth and retention

• Patient satisfaction

• Physician engagement/satisfaction

Key Candidate Qualifications

• Bachelor’s Degree

• 10+ years of progressive leadership experience in large, complex, and integrated healthcare delivery or health insurance setting.

• Experience in healthcare management and/or operations, Provider Practice/Healthcare or medical center operations

• Demonstrated ability to work effectively with physician and health system leadership.

• Proven ability to drive strategy, set and meet established targets, and create and deploy clinical products.

• Strong relationship building, communication, organizational and team building skills.

• Business development AND/OR experience successfully building out markets.

• Expert knowledge of various external market forces affecting medical centers specific to relationships with providers and third-party payers.

• Strong influencing skills, across matrixed environment

• Ability to work Eastern Standard Time

• Ability to travel 25% of the time across 7 states to include: WA, FL, TX, GA, TN, AZ, NV, UT

Preferred Qualifications

• Master’s degree in health services or Business Administration preferred.

• Experience in P&L management and budgeting functions, with progressive business and financial analysis experience with a focus on financial reporting, resource prioritization, variance analysis.

• Demonstrated experience with managed care operations.

• Experience with major clinical IT platforms, and fluent with complex electronic medical record platforms and corresponding successful data extraction.

• Experience developing and implementing clinical, service, and operational process improvement initiatives on both the small and large scale.

• Extensive experience in leading and bringing to fruition successful provider related relationships across primary care, specialists and regional health systems.

• 5+ years’ experience in contract negotiation.

• Ability to effectively lead in a changing environment and experience with change management is strongly desired.

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

Scheduled Weekly Hours

40

Application Deadline: 03-19-2026
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 creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

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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.