Provider Relations Professional

Provider Relations Professional page is loaded## Provider Relations Profession allocations:
Lafayette, LA:
Mamou, LA:
St. Martinville, LA:
Crowley, LA:
Opelousas, LAtime type:
Full time posted on:
Posted Todayjob requisition :
R-403649#
** Become a part of our caring community and help us put health first
** You will report to Associate Director Provider Relations and support the Louisiana Medicaid Physical Health team.
* ** In this role as a Provider Relations/Engagement Professional you will be responsible for:**  + Conduct in‑person and virtual provider engagements to support education on policies, processes, and available tools, including navigating online resources; monitor relevant reports and document provider interactions following established requirements.  + Support departmental, segment, and organizational strategies by aligning day‑to‑day activities with defined operating goals and cross‑functional programs.  

+ Plan and execute assigned work, including navigating routine ambiguity, while escalating issues and seek guidance.  + Contribute to programs focused on improving provider and consumer experiences through participation in engagement activities and process awareness. Following established guidelines, procedures, and documentation standards.#
** Use your skills to make an impact**###

Required Qualifications:

* 1 year of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience
* Utilize Microsoft Word, Excel, Outlook, and PowerPoint at an intermediate to advanced level, as evidenced by creating complex documents, spreadsheets, presentations, and email communications required for role functions.
* Successfully demonstrated effective planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies·
* Demonstrated experience conducting face-to-face and virtual meetings with healthcare providers to educate them on organizational policies and processes, foster professional relationships, instruct providers on the use of online tools and resources, monitor relevant reports, and accurately document provider interactions.·
* Demonstrated experience managing multiple projects or assignments concurrently within a professional or academic setting, utilizing structured project tracking or project management tools to monitor progress and ensure completion.
* Prior experience in establishing and maintaining professional relationships with provider offices, hospitals, and community organizations, demonstrated by successful coordination and participation in conferences, seminars, town halls, and other community-based events.###

Preferred Qualifications:

* Experience working with Medicare/Medicaid or other MCO## Additional Information### Driving Statement:

This role is part of our company's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
** Work-At-Home Requirements
** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
* At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is required.
* Satellite, cellular and microwave connection can be used only if approved by leadership
* Associates 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 associates with telephone equipment appropriate to meet the business requirements for their position/job.
* Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
** Workstyle:
** Combination remote work at home and onsite/home member visits
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* Hours:

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