Humana
Overview
Become a part of our caring community and help us put health first.
The Provider Engagement Executive develops and grows positive, long‑term relationships with physicians, providers and healthcare systems to support and improve financial and quality performance within the contracted working relationship with the health plan. The role involves problems of diverse scope and complexity ranging from moderate to substantial.
The Executive represents the scope of health plan/provider relationship across areas such as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas related to provider performance, member experience, market growth, provider experience, and operational excellence. The Executive advises executives to develop functional strategies (often segment specific) on matters of significance and exercises independent judgment on complex issues.
Use your skills to make an impact Use your skills to make an impact in a dynamic environment.
Required Qualifications
Must reside in the state of Nevada (NV).
5+ years of experience in healthcare or managed care with provider contracting, network management, or provider relations.
2+ years of demonstrated project management experience and partnering with senior leadership on strategic initiatives.
Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies.
Demonstrated ability to manage multiple projects and meet deadlines.
Comprehensive knowledge of all Microsoft Office applications.
Ability to travel up to 10% within the Pacific Southwest region.
Preferred Qualifications
Bachelor’s degree.
Proficiency in analyzing and interpreting financial trends for healthcare costs, administrative expenses and quality/bonus performance.
Comprehensive knowledge of Medicare policies, processes and procedures.
Travel & Working Location This is a remote position, but occasional travel to Humana’s offices for training or meetings may be required.
Compensation The compensation range is $86,300 - $118,700 per year. The position is eligible for a bonus incentive plan.
Benefits Humana offers competitive benefits that support whole‑person well‑being, including medical, dental and vision coverage, 401(k), paid time off, disability, life insurance and more.
Equal Opportunity Employer Humana is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.
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The Provider Engagement Executive develops and grows positive, long‑term relationships with physicians, providers and healthcare systems to support and improve financial and quality performance within the contracted working relationship with the health plan. The role involves problems of diverse scope and complexity ranging from moderate to substantial.
The Executive represents the scope of health plan/provider relationship across areas such as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas related to provider performance, member experience, market growth, provider experience, and operational excellence. The Executive advises executives to develop functional strategies (often segment specific) on matters of significance and exercises independent judgment on complex issues.
Use your skills to make an impact Use your skills to make an impact in a dynamic environment.
Required Qualifications
Must reside in the state of Nevada (NV).
5+ years of experience in healthcare or managed care with provider contracting, network management, or provider relations.
2+ years of demonstrated project management experience and partnering with senior leadership on strategic initiatives.
Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies.
Demonstrated ability to manage multiple projects and meet deadlines.
Comprehensive knowledge of all Microsoft Office applications.
Ability to travel up to 10% within the Pacific Southwest region.
Preferred Qualifications
Bachelor’s degree.
Proficiency in analyzing and interpreting financial trends for healthcare costs, administrative expenses and quality/bonus performance.
Comprehensive knowledge of Medicare policies, processes and procedures.
Travel & Working Location This is a remote position, but occasional travel to Humana’s offices for training or meetings may be required.
Compensation The compensation range is $86,300 - $118,700 per year. The position is eligible for a bonus incentive plan.
Benefits Humana offers competitive benefits that support whole‑person well‑being, including medical, dental and vision coverage, 401(k), paid time off, disability, life insurance and more.
Equal Opportunity Employer Humana is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.
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