Humana
Provider Engagement Executive
Base Pay Range
$86,300.00/yr - $118,700.00/yr
Responsibilities The Provider Engagement Executive develops and grows positive, long‑term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted ترکیب relationship with the health plan. The role works on problems of diverse scope and complexity ranging from moderate to substantial.
The Provider Engagement Executive represents the scope of the health plan/provider relationship across such areas 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 as they relate to provider performance, member experience, market growth, provider experience and operational excellence. The Executive advises senior leadership to develop segment‑specific functional strategies on matters of significance. The role exercises independent judgment and decision‑making on complex issues regarding job duties and related tasks, working under minimal supervision and requiring analysis of variable factors to determine the best course of action.
Required Qualifications
8 or more years of health care or managed care experience in Provider Contracting, Network Management or Provider Relations and administration.
2 or more years of demonstrated project management experience and partnering with senior leadership on strategic initiatives.
Proven planning, preparationочно 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 as needed, including overnight, in the designated region: CA, NV, AZ, CO, NM, HI.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
Preferred Qualifications
Bachelor's Degree preferred.
Remote residence in Phoenix, AZ or Denver, CO preferred.
Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance.
Comprehensive knowledge of Medicare policies, processes and procedures.
Travel Information: While this is a remote position, travel to value‑based provider groups and乐彩 corporate Humana offices for training or meetings may be required.
SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Work At Home / Internet Information
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi‑weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to Franklin the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Scheduled Weekly Hours 40
Benefitsi Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offer competitive benefits that support whole‑person well‑being. Associate benefits include medical, dental and vision benefits, 401(k) retirement savings plan, paid time off, short‑term and long‑term disability, life insurance and many other opportunities.
Application Deadline 01-16-2026
Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Seniority Level Mid-Senior level
Employment Type Full‑time
Job Function Business Development and Sales
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Responsibilities The Provider Engagement Executive develops and grows positive, long‑term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted ترکیب relationship with the health plan. The role works on problems of diverse scope and complexity ranging from moderate to substantial.
The Provider Engagement Executive represents the scope of the health plan/provider relationship across such areas 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 as they relate to provider performance, member experience, market growth, provider experience and operational excellence. The Executive advises senior leadership to develop segment‑specific functional strategies on matters of significance. The role exercises independent judgment and decision‑making on complex issues regarding job duties and related tasks, working under minimal supervision and requiring analysis of variable factors to determine the best course of action.
Required Qualifications
8 or more years of health care or managed care experience in Provider Contracting, Network Management or Provider Relations and administration.
2 or more years of demonstrated project management experience and partnering with senior leadership on strategic initiatives.
Proven planning, preparationочно 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 as needed, including overnight, in the designated region: CA, NV, AZ, CO, NM, HI.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
Preferred Qualifications
Bachelor's Degree preferred.
Remote residence in Phoenix, AZ or Denver, CO preferred.
Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance.
Comprehensive knowledge of Medicare policies, processes and procedures.
Travel Information: While this is a remote position, travel to value‑based provider groups and乐彩 corporate Humana offices for training or meetings may be required.
SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Work At Home / Internet Information
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi‑weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to Franklin the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Scheduled Weekly Hours 40
Benefitsi Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offer competitive benefits that support whole‑person well‑being. Associate benefits include medical, dental and vision benefits, 401(k) retirement savings plan, paid time off, short‑term and long‑term disability, life insurance and many other opportunities.
Application Deadline 01-16-2026
Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Seniority Level Mid-Senior level
Employment Type Full‑time
Job Function Business Development and Sales
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