Provider Engagement Executive

Humana•Prior Lake, AR

2d•Remote

About The Position

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 Provider Engagement Executive is the relationship quarterback for a multi-disciplinary team assigned to value-based partners. This team consults and drives results leading to improved patient outcomes. The Provider Engagement Executive represents the scope of 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. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action. Use your skills to make an impact

Requirements

Bachelor's Degree or equivalent experience
5 or more years of health care or managed care related experience - Network Performance Management, Population Health, or Provider Relations
2 or more years of demonstrated project management experience and partnering with senior leadership on strategic initiatives
Experience with value-based care, population health, or other healthcare performance improvement
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

Nice To Haves

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

Benefits

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families.
We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities