Senior Provider Education Professional; Medicaid

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Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional for active markets who will serve as a key support resource to the Medicaid Provider Education Leads. This role is responsible for assisting in the development, updating, and annual review of provider education materials to ensure a best-in-class provider experience for Humana’s Medicaid segment. In this supporting capacity, the position aids in analyzing state contract language, updating content, and facilitating the annual review process for provider training materials, provider manuals, orientations, resource guides, and annual compliance trainings for new and existing state contracts.

The professional collaborates closely with Leads and various business segments to gather input, tailor materials to meet state-specific contract requirements, and ensure consistency and compliance with internal standards. Following content creation, this role supports the approval process by preparing materials for review by branding, proofreading, legal, compliance, and final design teams.

Additional responsibilities include managing and tracking provider documents.

The Senior Medicaid Provider Education Professional must demonstrate strong content creation, project management, and organizational skills, as well as effective collaboration across business units.

• Assist in drafting small to mid-size provider content initiatives from new learning technology for training providers in active Medicaid markets.
• Assist in the creation and maintenance of on-demand provider materials to allow for self-service learnings across annual provider required trainings.
• Support cross-departmental collaboration to update annual provider educational resources in compliance with state requirements, including template maintenance, communications, revisions, proofreading, and quality assurance.
• Regular meetings with project teams to understand their provider training and education needs to ensure aligned segment strategy and approach.
• Support provider implementation education team members on the creation of new materials and annual reviews of documents including business owner content reviews and tracking documents through the internal review process.

• Bachelor’s Degree
• 3+ years drafting provider content creation for resources, educational material, or training
• Understanding of learning design principles and ideally proven application of those principles to create easy-to-read and captivating provider training and educational materials
• Template design experience with proficiency in Microsoft Office (Word, Excel, PowerPoint, SharePoint, Teams)
• 2+ years project management experience with mid-size projects
• 1+ year experience working with a learning management system and / or software
• Exceptional time management and ability to manage multiple priorities in a fast-paced environment
• Experience operating in a matrixed environment and coordinating across various departments
• Excellent written and oral communication, as well as interpersonal skills.
• Flexible, dynamic personality who works well in a team environment

• Experience with Medicaid policies and/or Medicaid health plan operations, such as provider relations, claims submission and payment, utilization management processes, dispute resolution
• Healthcare and/or managed care experience

• Travel :
  Up to 5%, possibly out of your home state.
• Workstyle: Remote, must work hours within the eastern time zone.
• Core Workdays &
  
  Hours:
  
  Typically, 8-5 pm Monday – Friday;
  Eastern Standard Time (EST).
• Benefits: Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more…

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Associates 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 associates 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 information.

As part of our hiring process, we will be using interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a…