Clinical Provider Education Facilitation Lead

Become a part of our caring community and help us put health first

We’re looking for a Registered Nurse (RN) who’s passionate about education, clinical documentation, and coding to join our team as a Clinical Coding Education Facilitation Lead – Provider Coding Curriculums. In this role, you’ll blend your clinical expertise—especially in Medicare Risk Adjustment (MRA) and HCC coding—with instructional design skills to create engaging, practical learning experiences for providers and care teams. You’ll help providers document care accurately, support compliance, and drive quality outcomes in a value-based care environment.

• Design and develop provider education programs focused on clinical documentation, risk adjustment, and coding accuracy for value-based primary care.
• Build and maintain comprehensive curriculum frameworks and content specifically targeting provider documentation and coding best practices for value-based care.
• Create interactive, learner-friendly materials (e-learning modules, job aids, facilitator guides, scenario-based learning) using adult learning principles and instructional design principles.
• Collaborate with providers, clinical leaders, coding teams, educators, and operational partners to ensure content is clinically relevant and aligned with workflows and integrates effectively with EMR tools.
• Simplify complex coding and compliance concepts into practical education that fits seamlessly into daily provider routines.
• Integrate documentation best practices and EMR optimization into training, aiming to reduce provider burden and support efficient, high-quality care.
• Gather and apply feedback from learners and stakeholders to continuously improve educational content curriculum structure, and delivery methods.
• Monitor, measure, and report on training effectiveness using metrics like coding accuracy, risk score stability, and provider engagement.
• Serve as a subject matter resource for MRA coding, documentation improvement, and regulatory updates, supporting provider education initiatives.
• Support change management during EMR implementations and workflow/process changes by providing targeted documentation and learning support.

• Active RN license
• A minimum of five years of clinical experience in primary care, internal medicine, family medicine, or similar
• AHIMA coding credential (CCS, or equivalent) or AAPC CPC certification
• Background in curriculum development, adult education, or program design.
• Strong understanding of risk adjustment, HCC coding, value-based care, and preventive/chronic disease management
• Experience delivering clinical or coding education to providers, Nurse Practitioners, or Physician Assistants
• Able to communicate complex coding and regulatory requirements in a practical, provider-friendly manner

• Clinical experience in value-based primary care or Medicare Advantage.
• Knowledge of EMR optimization, documentation workflows, and large-scale EMR implementations.
• Experience working across multi-market or matrixed healthcare organizations.

• Clinical credibility and rapport with providers.
• Adult learning and instructional design expertise.
• Systems thinking and workflow optimization.
• Strong written/verbal communication.
• Data-driven decision making.
• Collaboration and influence in cross-functional teams.

• Remote Role
• Standard working hours required; 8:00 am - 5:00 pm;
  Central or Eastern Time Zones Preferred

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 recommended; 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…