Provider Engagement Executive

Overview

Become 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 Executive represents the scope of the health plan/provider relationship across 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 and operational excellence.

The Executive advises executives to develop functional strategies on matters of significance, exercises independent judgment and decision making on complex issues, works under minimal supervision, and uses independent judgment requiring analysis of variable factors to determine the best course of action.

• Bachelor's Degree and/or equivalent experience
• 8 or more years of health care or managed care with provider contracting, network management or provider relations experience
• 2 or more 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 as needed
• Passionate about contributing to an organization focused on continuously improving consumer experiences
• Candidates must reside in the Intermountain Region

• Candidates to reside in Washington or Oregon preferred
• Master's Degree
• 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

• 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 meet the business requirements for their position.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information.

Pay Range: $86,300 - $118,700 per year
Scheduled Weekly

Hours:

40
Bonus incentive plan.

Humana, Inc. and its affiliated subsidiaries offer competitive benefits that support whole-person well-being, including medical, dental and vision benefits, a 401(k) retirement savings plan, time off, short-term and long-term disability, life insurance and many other opportunities.

Humana is an equal opportunity employer; we do not discriminate against any employee or applicant for employment based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. We take affirmative action in compliance with the Rehabilitation Act and VEVRAA.

Humana Inc. (NYSE: HUM) is committed to putting health first for our teammates, customers and our company. Through our Humana insurance services and Center Well healthcare services, we make it easier for millions of people to achieve their best health, delivering the care and service they need when they need it.