Practice Engagement Professional
Practice Engagement Professional
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$ 48900 - 66200
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 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. The Provider Engagement Professional work assignments are often straightforward and of moderate complexity.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 own work area professional concepts/standards regulations strategies and operating standards. Makes decisions regarding own work approach/priorities and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
*Incumbent based in Central Florida strongly preferred
Use your skills to make an impact
Required Qualifications
A minimum of two years experience in Healthcare or managed care with Provider Contracting Network Management or Provider Relations experience
Proven planning preparation and presenting skills with established knowledge of reimbursement and bonus methodologies
Demonstrated ability to manage multiple projects and meet deadlines
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Proficiency in analyzing and interpreting financial trends for health care costs administrative expenses and quality/bonus performance
Preferred Qualifications
Bachelors Degree
Comprehensive knowledge of Medicare policies processes and procedures
Value based care knowledge
Additional Information
<50% local travel between clinics; mileage reimbursement will be issued
Incumbent based in Central Florida strongly preferred
Work from home role; with in-office/clinic meetings as needed. Averaging 2-3 days per week in-office meetings depending on business need.
Drivers License Reliable Transportation Insurance This role is part of Humanas Driver safety program and therefore requires an individual to have:
a valid state drivers license
carry insurance in accordance with the state minimum required limits or $25000/$25000/10000 whichever is higher
and a reliable vehicle.
Work from Home Statement
To ensure Home or Hybrid Home/Office employees ability to work effectively the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless wired cable or DSL connection is suggested.
Satellite cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California Illinois Montana or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA
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 whole-person well-being. 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) short-term and long-term 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 value-based 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 well-being.About CenterWell a Humana company: CenterWell creates experiences that put patients at the center. As the nations largest provider of senior-focused primary care one of the largest providers of home health services and fourth largest pharmacy benefit manager CenterWell is focused on whole-person health by addressing the physical emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM) CenterWell offers stability industry-leading 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 well-being 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
