Director, Provider Engagement

Employment Type: Full-time

Position Overview

Become a part of our caring community and help us put health first. The Director, Provider Engagement develops and grows positive, long-term relationships with physicians, providers, and healthcare systems to support and improve financial and quality performance within the contracted working relationship with the health plan. This role requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

The Director, Provider Engagement represents the scope of health plan/provider relationships across areas such as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements, and other areas as they relate to provider performance, member experience, market growth, provider experience, and operational excellence. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes. This role implements strategic plans, drives goals and objectives, and improves performance. Provides input into the function's strategy.

Use your skills to make an impact!

Requirements

• Bachelor's Degree
• 6+ years of experience in Provider Engagement, Performance Management, Value-based Care Operations, and/or VB Contracting.
• 3+ years of demonstrated success directing and leading teams, coaching and mentoring staff to build internal capability and long-term success.
• Demonstrated knowledge of population health management best practices and proven success leading initiatives across clinical, operational, and financial domains in a complex healthcare environment.
• Strong relationship-building skills with experience engaging cross-functional teams and initiatives in complex healthcare environments.
• Excellent communication skills, both oral and written, with the ability to influence at all levels and drive consensus among diverse stakeholders.
• Experience using data to monitor provider performance and drive targeted interventions, with the ability to translate trends into actionable strategies and measurable outcomes.
• Adept in change management, forward-thinking, resilient, and able to drive adoption of new processes and operational approaches with the capability to guide teams through transformation.
• Comprehensive knowledge of all Microsoft Office applications.
• Ability to travel as needed.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Preferred Qualifications

• Master's Degree
• Prior work experience in the health solutions industry with demonstrated success engaging with providers/health systems and advancing performance outcomes.

Additional Information

• Requires travel.

Work At Home / Internet Information:

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required.
• Wireless, wired cable, or DSL connection is suggested.
• Satellite, cellular, and microwave connections can be used only if approved by leadership.

Employees who live and work from Home in the states of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

Work from a dedicated home office space.

Interview Process:

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.