Provider Coordinator, Team Lead
Blank StreetSalary not specified
- Full Time
- Junior (1 to 2 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates should possess 4 or more years of experience in healthcare or managed care, specifically in Provider Contracting, Network Management, or Provider Relations, along with at least 1 year of demonstrated project management experience. They should have experience partnering with senior leadership on strategic initiatives, and possess proven planning, preparation, and presenting skills. A comprehensive knowledge of Microsoft Office applications and the ability to travel as needed are also required.
Responsibilities
The Provider Engagement Executive will develop and grow positive, long-term relationships with physicians, providers, and healthcare systems to support and improve financial and quality performance. They will represent the scope of the health plan/provider relationship across various areas including financial performance, incentive programs, quality, and operational improvements. The role involves advising executives on strategic functional strategies, exercising independent judgment on complex issues, and managing multiple projects to meet deadlines. Additionally, they will analyze financial trends, interpret reimbursement methodologies, and possess knowledge of Medicare policies and procedures.
Skills
Provider Contracting
Network Management
Provider Relations
Project Management
Strategic Planning
Microsoft Office
Reimbursement Methodologies
HEDIS
Stars
Data Analysis
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