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Provider Engagement Executive
HumanaProvider Engagement Executive managing relationships with healthcare providers to enhance financial and quality performance. Working independently on diverse problems and advising executives on strategies.
Posted 7/30/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $86,300 - $118,700 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Provider Contracting, Network Management, and Provider Relations within the healthcare sector, with a strong focus on HEDIS and Stars measures. Proven ability to manage projects, collaborate with senior leadership, and enhance financial and quality performance in health plan relationships.
Highest-signal resume keywords
Provider ContractingNetwork ManagementHEDIS ExperienceProject ManagementStrategic Initiatives
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider RelationsFinancial Performance ImprovementQuality Performance ManagementProject ManagementMicrosoft Office Applications
Soft Skills
Relationship BuildingIndependent JudgmentDecision MakingPlanningPresentation Skills
Certifications & Qualifications
Associate's Degree
Industry Keywords
HealthcareManaged CareHealth PlanHEDISStars Measures
About the role
Key responsibilities & impact- 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
- Works on problems of diverse scope and complexity ranging from moderate to substantial
- Represents the scope of health plan/provider relationship across various areas
- Advises executives to develop functional strategies on matters of significance
- Exercises independent judgment and decision making on complex issues regarding job duties and related tasks
Requirements
What you’ll need- Minimum of Associate's Degree
- 4 or more years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience
- Experience working with HEDIS and/or Stars measures and programs
- 1 or more years of demonstrated project management experience
- Experience partnering with senior leadership on strategic initiatives
- Proven planning, preparation and presenting skills
- Demonstrated ability to manage multiple projects and meet deadlines
- Comprehensive knowledge of all Microsoft Office applications
- Must be located within the State of Indiana with the ability to travel as needed
Benefits
Comp & perks- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
- many other opportunities