[Remote] Director, Provider Education at Humana

San Antonio, Texas, United States

Apply Now

Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor’s Degree
5 or more years of management experience with proven skills leading an evolving team
Familiarity and experience educating providers in Value Based Care principles, including Medicare Risk Adjustment & Stars
Ability to work and lead independently with minimal oversight
Experience working with and supporting initiatives under the direction of senior leadership
Experience developing and implementing novel strategies, pilots, or projects
Ability to manage multiple or competing priorities and work in a fast-paced environment

Responsibilities

Provider Education Execution Responsibilities:
Lead the development of provider education programs focused on Medicare Risk Adjustment and Stars
Collaborate with Market Associates to drive highest-impact educational opportunities
Analyze provider and market performance indicators to tailor education interventions
Lead the creation of provider-facing Webinars and other educational materials
Support Continuing Medical Education offerings for Medicare Risk Adjustment and Stars
Provider Education Strategy Responsibilities:
Oversee the development and execution of provider education enhancements
Lead Market Coding Education optimization programs
Strategize new provider education channels (e.g. EHR integration, videos, just-in-time trainings, etc.)
Integrate education offerings across HQRI-wide priorities and innovations
Medical Director Support Responsibilities:
Work autonomously, providing leadership and operational direction to the Provider Education Team
Be the leader and primary point of contact for provider education initiatives
Support the development of associates on the Education team and fulfill day-to-day leadership responsibilities
Engage the Medical Director whenever additional leadership or clinical support is needed

Skills

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

Land your dream remote job 3x faster with AI

Try Jobo Free