Provider Engagement Executive
Humana

Phoenix, Arizona

Posted in Insurance


This job has expired.

Job Info


Description

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

Responsibilities

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.

Required Qualifications

  • Bachelor's Degree
  • 5+ years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience
  • 2+ 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
Preferred Qualifications
  • Masters 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
Additional Information

Under the current circumstances, our workforce is working remotely until Labor Day. After that time, you will be expected to report to the Phoenix, AZ office located at 2231 E Camelback Rd #400, Phoenix, AZ 85016

Scheduled Weekly Hours

40


This job has expired.

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