Provider Engagement Manager (Connecticut Market)
Abarca Health95,000 - 95,000 USD/year
- Full Time
- Junior (1 to 2 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates must reside in Florida within the specified counties, possess a Bachelor’s degree, and have 1 to 5 years of experience in healthcare or managed care, specifically with Provider Contracting, Network Management, or Provider Relations. They should also demonstrate strong planning, preparation, and presenting skills, along with knowledge of reimbursement and bonus methodologies, and a passion for improving consumer experiences.
Responsibilities
The Provider Engagement Professional 2 develops and grows positive relationships with physicians and providers, supporting and improving financial and quality performance within contracted working relationships. They represent the health plan/provider relationship across various areas including financial performance, incentive programs, quality, and operational improvements. The role involves monitoring and interpreting changes in legislation, conducting audits, delivering training, advising management on risk mitigation, and managing multiple projects to meet deadlines, all while following established guidelines and procedures.
Skills
Planning
Presentation
Reimbursement
Bonus methodologies
Project management
Deadline management
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.
Key Metrics
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees