Senior Provider Engagement Professional

The Senior Provider Relations Professional will foster positive relationships with network providers in Michigan's Humana Medicaid Program. Responsibilities include conducting provider orientations and onboarding, managing and resolving escalated provider issues, and providing ongoing education and training on self-service functions and Humana processes. The role involves scheduling and facilitating meetings, ensuring prompt resolution of provider inquiries related to claims, prior authorizations, and referrals, and participating in forums to communicate policy updates. Additionally, the professional will ensure compliance with contractual requirements, conduct on-site provider visits, attend association conferences, and relay credentialing documents to the appropriate team.