Provider Relations Professional

Humana • Lafayette, LA

6d • Hybrid

About The Position

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

Requirements

• 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.

Nice To Haves

• Experience working with Medicare/Medicaid or other MCO

Responsibilities

• 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

Benefits

• Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed