Provider Engagement Executive

Position Overview

Become a part of our caring community and help us put health first. The Provider Engagement Executive 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 addresses problems of diverse scope and complexity, ranging from moderate to substantial.

The Provider Engagement Executive owns the scope of the health plan/provider relationship across various critical areas, including:

• Financial performance
• Incentive programs
• Quality and clinical management
• Population health
• Data sharing and connectivity
• Documentation and coding
• HEDIS and Stars performance
• Operational improvements
• Provider performance
• Member experience
• Market growth
• Provider experience
• Operational excellence

Use your skills to make an impact!

Employment Type

• Full time

Salary

• [Salary information not provided]

Location Type

• [Location Type information not provided]

Requirements

Required Qualifications

• Minimum 5 years of Healthcare or Managed Care experience with Value-Based Agreements, Provider Contracting, Network Management, or Provider Relations.
• Minimum 2 years of demonstrated project management experience and partnering with senior leadership on strategic initiatives.
• Proficiency in analyzing and interpreting financial trends for healthcare costs, administrative expenses, and quality performance.
• Proven planning, preparation, and presenting skills, with established knowledge of reimbursement and bonus methodologies.
• Demonstrated ability to manage multiple projects and meet deadlines.
• Comprehensive knowledge of all Microsoft Office applications.
• Minimal travel as needed within the region.

Work-At-Home Requirements

• Minimum download speed of 25 mbps and upload speed of 10 mbps recommended.
• Wireless, wired cable, or DSL connection suggested.
• Satellite, cellular, and microwave connections can be used only if approved by leadership.
• Associates living and working from home in 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 associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Preferred Qualifications

• Bachelor's Degree.
• Experience with Medicare and Medicaid.
• Comprehensive knowledge of Medicare policies, processes, and procedures.

Travel

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

Additional Information

As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling, and Video technologies allow you to interact with us at the time and location most convenient for you.

If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging, and/or Video interview. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to the next round of interviews.

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.

• [Pay Range information not provided]