Humana

Manager, Provider Engagement

Humana

full-time

Posted on:

Location Type: Remote

Location: Missouri • United States

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Salary

💰 $86,300 - $118,700 per year

About the role

  • Develops and grows positive, long-term relationships with physicians, providers and healthcare systems.
  • Supports and improves financial and quality performance within the contracted working relationship with the health plan.
  • Applies advanced technical knowledge to solve moderately complex problems.
  • Leads a team of provider relations associates responsible for growing positive, long-term relationships with network PCP/Medical, behavioral health and Long-Term Services and Support (LTSS) providers.
  • Facilitates a positive provider relationship management experience, through provider training, education, responding to provider inquiries, and resolving issues or complaints.
  • Identifies and leads opportunities to make changes to improve operations across teams.

Requirements

  • Bachelor’s Degree with 4 or more years of progressive experience in managed care operations, including network management and provider relations OR High School Diploma with 7 or more years of progressive experience in managed care operations, including network management and provider relations.
  • Experience working for or with key provider types (such as primary care, FQHCs, hospitals, nursing facilities, and/or HCBS and LTSS providers).
  • 2+ years of management and team building experience including supervising a staff of at least 5-10 employees.
  • Prior experience working in and strong understanding of Medicare and Medicaid /HIDE DSNP.
  • Proven planning, preparation and presenting skills.
  • Demonstrated ability to manage multiple projects and meet deadlines.
  • Exceptional relationship management skills.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Knowledge of Microsoft Office applications.
Benefits
  • 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
  • many other opportunities
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
managed care operationsnetwork managementprovider relationsMedicareMedicaidHIDE DSNPproject managementplanningpreparationpresentation
Soft Skills
relationship managementteam buildingsupervisionproblem solvingcommunicationorganizational skillsmulti-taskingdeadline managementtrainingeducation