AVP, Vendor Performance and Value Management

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The Associate VP, Vendor Performance and Value Management works as liaison between vendors and the Medicaid organization and requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise wide.

Role Summary

The Associate Vice President, Vendor Performance and Value Management provides strategic leadership and oversight for governance, relationship management, performance optimization, and value realization of Medicaid third-party entities across a portfolio of more than 70 organizations. This role is accountable for building and operating a disciplined third-party lifecycle, driving measurable outcomes through rigorous governance frameworks, standardized performance metrics, and comprehensive risk management practices. This role combines strategy, governance, discipline and operational leadership to deliver insights and empower informed decision-making, reinforce financial discipline, and promote sustainable long-term enterprise value creation within the Medicaid line of business.

Responsibilities

• Develops, implements, and monitors a comprehensive framework under the Medicaid Third Party Entity (TPE) Governance Office for management of the TPE portfolio ensuring alignment with organizational strategic priorities

• Designs a business and financial modeling methodology to evaluate a new vendor, including business need, financial value or operating efficiency thesis, service level baseline, future scalability, platform enablement, and implementation agility for appropriate vendor selection and alignment to Medicaid priorities

• Leads process alignment of the TPE Governance office and business owners to ensure operating model strategies enable adoption of best practices and continuous improvement

• Partners with the PMO on implementation of new vendors and scaling pilots

• Conducts a monthly governance meeting to review new business cases, current portfolio operations and financial performance, risks and mitigations in place

• Builds and maintains positive relationships with vendors; designs and implements operating and performance management routines (e.g. monthly/quarterly Joint Operating Committees) to foster collaboration, transparency, accountability and improvement alongside business partners

• Identifies and monitors standardized metrics and risk processes to drive consistency and transparency in performance outcomes across the portfolio

• Cultivate a mindset championing cross-functional collaboration, policy harmonization, and ongoing optimization of processes and outcomes

• Ensure financial discipline and robust change control mechanisms to safeguard investments and strategic alignment, directly impacting performance optimization  

• Provides leadership to a team of approximately 20 associates of varying levels, identifies capability gaps and implements targeted initiatives to build, retain, and deploy talent in support of evolving business priorities and operational excellence

Use your skills to make an impact
 

Requirements

• Bachelor's Degree

• 10+ years of third-party, vendor and/or subcontractor management experience

• Demonstrable experience in all phases of the vendor management lifecycle

• Experience working with government sponsored insurance programs such as Medicaid and Medicare

• Experience designing and implementing an operating model for vendor selection and managing vendor performance

• Deep experience with designing and leading performance optimization, value realization, and operating frameworks that translate strategy into measurable outcomes

• Strong experience establishing standardized metrics, governance, and risk management practices, including executive-level reporting

• Demonstrated capability to drive cross-functional alignment, harmonize policies, and embed best practices at scale

• 8+ years of people leadership experience to include advanced leadership skills combined with strong financial discipline, change control, and strategic workforce planning

• Proficient in Microsoft Office applications including Word, Excel and PowerPoint

• Strong verbal and written communication and facilitation skills

• The ability to work EST or CST

Preferred

• Master’s Degree

• Six Sigma and/or the Project Management Certification

• Prior experience in a healthcare or insurance setting

• Knowledge of Medicaid state contracts and subcontractor requirements

• Proven expertise in third party risk management tools such as Aravo and ZIP

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: 03-31-2026

About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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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.