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Senior Provider Engagement Professional - Remote

Posted Yesterday
Sales / Business
Full Time
Ohio, USA
$71,100 - $97,800/year

Overview

The Senior Provider Engagement Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems to improve financial and quality performance within the contracted working relationship with the health plan.

In Short

  • Develop and maintain relationships with healthcare providers.
  • Support financial and quality performance in health plan contracts.
  • Analyze complex issues related to provider performance.
  • Influence department strategy and objectives.
  • Manage multiple projects and meet deadlines.
  • Utilize knowledge of reimbursement and bonus methodologies.
  • Occasional travel to Humana's offices for training or meetings.
  • Work from home with a dedicated workspace.
  • Compensation includes a bonus incentive plan.
  • Comprehensive benefits package offered.

Requirements

  • Bachelor's Degree required.
  • Must reside in Ohio.
  • 5+ years of experience in healthcare or managed care.
  • Proven planning and presentation skills.
  • Ability to analyze financial trends in healthcare.
  • Comprehensive knowledge of Medicare policies.
  • Master's Degree preferred.

Benefits

  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Paid time off and holidays.
  • Short-term and long-term disability.
  • Life insurance and other opportunities.

H.A.H.

Humana At Home 1

004 Humana Insurance Company is dedicated to putting health first for its teammates, customers, and the communities it serves. As a leading provider of insurance and healthcare services, Humana focuses on improving the quality of life for millions of individuals, including those with Medicare and Medicaid, families, and military personnel. The company emphasizes a holistic approach to well-being, offering a range of benefits designed to support personal wellness and smart healthcare decisions. Humana is committed to fostering an inclusive workplace and actively promotes equal opportunity for all employees.

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