[Remote] Provider Engagement Executive at Humana

Candidates must reside in Virginia and possess a Bachelor's Degree. A minimum of 5 years of experience in healthcare or managed care, specifically with provider contracting, network management, provider relations, value-based payment, and/or quality, is required. Additionally, 2 or more years of demonstrated project management experience and experience partnering with senior leadership on strategic initiatives are necessary. Proven planning, preparation, and presenting skills, along with established knowledge of reimbursement and bonus methodologies, are essential. Comprehensive knowledge of all Microsoft Office applications, exceptional relationship management skills, and excellent written and verbal communication skills are required. Proficiency in analyzing and interpreting financial trends for healthcare costs, administrative expenses, and quality/bonus performance, as well as proficiency in quality improvement principles and analyzing quality metrics like HEDIS, is necessary. A comprehensive understanding of Medicaid policies, processes, and procedures, including managed care contracts, contract language, and reimbursement, is also required.