Provider Engagement Manager (Connecticut Market)
Abarca Health95,000 - 95,000 USD/year
- Full Time
- Junior (1 to 2 years)
$60,000 – $80,000Compensation
Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Managed CareIndustries
Requirements
Candidates should possess a Bachelor's degree and a minimum of 5 years of experience in healthcare or managed care, specifically in Provider Contracting, Network Management, or Provider Relations. They must demonstrate strong planning, preparation, and presenting skills, along with established knowledge of reimbursement and bonus methodologies. Furthermore, candidates should be able to manage multiple projects and meet deadlines, and be passionate about improving consumer experiences.
Responsibilities
The Senior Provider Engagement Professional develops and grows positive, long-term relationships with physicians, providers, and healthcare systems to support and improve financial and quality performance within contracted working relationships. They will work with key providers throughout Ohio, including Primary Care Providers (PCPs), FQHCs/RHCs, and Hospital Systems, representing the scope of the health plan/provider relationship across various areas such as financial performance, incentive programs, quality, and operational improvements. They will also analyze and interpret financial trends, contribute to department strategy, and make decisions on moderately complex issues regarding project components, exercising considerable latitude in determining objectives and approaches to assignments.
Skills
Provider Contracting
Network Management
Provider Relations
Reimbursement
Bonus Methodologies
Financial Performance
Quality Performance
Ohio
Primary Care Providers (PCPs)
FQHCs/RHCs
Hospital Systems
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