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 must reside in the state of Florida in one of the specified counties, possess a Bachelor’s degree, and have 1 to 5 years of experience in healthcare or managed care with Provider Contracting, Network Management, or Provider Relations. They should also demonstrate proven planning, preparation, and presenting skills, along with established knowledge of reimbursement and bonus methodologies, and the ability to manage multiple projects and meet deadlines.
Responsibilities
The Provider Engagement Professional 2 will develop and grow positive, long-term relationships with physicians, providers, and healthcare systems to support and improve financial and quality performance within contracted working relationships. They will represent the scope of the health plan/provider relationship across various areas including financial performance, incentive programs, quality, and clinical management, and make decisions regarding their own work methods with minimal direction. The role involves monitoring and interpreting changes in employment legislation, conducting audits, delivering training, advising management on risk mitigation, and contributing to operational improvements related to provider performance and member experience.
Skills
Provider Contracting
Network Management
Provider Relations
Reimbursement
Bonus Methodologies
Project Management
Presentation Skills
Data Sharing
Quality and Clinical Management
Population Health
Operational Improvements
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