Provider Support Model Lead, Provider Engagement

This role leads Humana's provider engagement strategy to optimize provider experience and performance in alignment with organizational goals and industry trends. The lead maintains and enhances the Medicaid Provider Support Model for standardized and scalable processes, resources, and tools, focusing on repeatable staffing, processes, and technology. They develop resources for market Provider Engagement staff to support various providers in Value-Based Purchasing (VBP) arrangements and partner with the Medicaid VBP team to ensure resource alignment. The lead also develops and designs new innovations and solutions for the Medicaid Provider Support Model, consults with active markets on strategies for improving provider performance and VBP engagement, and improves operating procedures for efficiency. Additionally, they are responsible for the timely implementation of provider engagement functions in new Medicaid markets, including staffing, standard operating procedure development, tools, provider visit documentation, and plan execution. This includes creating and maintaining the Provider Support Model implementation handbook specific to Provider Engagement and developing processes and materials to establish Provider Engagement teams and processes in Medicaid markets.