Provider Engagement Professional
Provider Engagement Professional
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$ 59300 - 80900
1 Vacancy
Job Description
Become a part of our caring community and help us put health first
The Provider Engagement Professional develops and grows positive longterm 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. The Provider Engagement Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.This role will require 50 70% travel in and around the Jacksonville area.
The Provider Engagement Professional 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. Understands department segment and organizational strategy and operating objectives including their linkages to related areas. Makes decisions regarding own work methods occasionally in ambiguous situations and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Use your skills to make an impact
Required Qualifications
- 3 years of Health care or managed care with Provider Contracting Network Management or Provider Relations experience.
- This position will require the candidate to reside in the Greater Jacksonville Florida area.
- Proven planning preparation and presenting skills with established knowledge of reimbursement and bonus methodologies
- Demonstrated ability to manage multiple projects and meet deadlines
- Passionate about contributing to an organization focused on continuously improving consumer experiences
- Excel and Power BI experience
Preferred Qualifications
- Bachelors degree or 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
Alert:
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number if it is not already on file. When required an email will be sent from with instructions on how to add the information into your official application on Humanas secure website.
Interview Format: HireVue:
As part of our hiring process for this opportunity we will be using an interviewing technology called HireVue to enhance our hiring and decisionmaking ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Benefits:
Humana offers a variety of benefits to promote the best health and wellbeing of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial securityboth 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
#LIBL1
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills knowledge experience education certifications etc.Description of Benefits
Humana Inc. and its affiliated subsidiaries (collectively Humana) offers competitive benefits that support wholeperson wellbeing. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our 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) shortterm and longterm disability life insurance and many other opportunities.
About Us
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive preventive care to seniors including wellness visits physical exams chronic condition management screenings minor injury treatment and more. As part of CenterWell Senior Primary Care Convivas innovative valuebased approach means each patient gets the best care when needed most and for the lowest cost. We go beyond physical health addressing the social emotional behavioral and financial needs that can impact our patients wellbeing.About CenterWell a Humana company: CenterWell creates experiences that put patients at the center. As the nations largest provider of seniorfocused primary care one of the largest providers of home health services and fourth largest pharmacy benefit manager CenterWell is focused on wholeperson health by addressing the physical emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM) CenterWell offers stability industryleading benefits and opportunities to grow yourself and your career. We proudly employ more than 30000 clinicians who are committed to putting health first for our teammates patients communities and company. By providing flexible scheduling options clinical certifications leadership development programs and career coaching we allow employees to invest in their personal and professional wellbeing all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race color religion sex sexual orientation gender identity national origin age marital status genetic information disability or protected veteran status. It is also the policy of Humana to take affirmative action in compliance with Section 503 of the Rehabilitation Act and VEVRAA to employ and to advance in employment individuals with disability or protected veteran status and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions including but not limited to recruitment hiring upgrading promotion transfer demotion layoff recall termination rates of pay or other forms of compensation and selection for training including apprenticeship at all levels of employment.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
