Provider Engagement - Physical Health

Provider Engagement - Physical Health page is loaded## Provider Engagement - Physical Health locations:
Remote Oklahoma time type:
Full time posted on:
Posted Todayjob requisition :
R-405808#
** Become a part of our caring community and help us put health first
** The Provider Engagement Professional 2 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 2
* 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 department, segment, and organizational strategy and operating objectives, including their linkages to related areas.#
** Use your skills to make an impact
**** Required Qualifications**
* ** Must Reside in Oklahoma
*** 1+ year of Health care 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
** Preferred Qualifications
*** Bachelors Degree
* Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance
* Comprehensive knowledge of Medicaid policies, processes and procedures
** Additional Information
** This is a remote position that requires you to travel occasionally to the office in Oklahoma City for collaboration and face-to-face meetings as well as field interactions with community-based organizations, members, and providers.
** WAH 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/ from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
** Benefits
* * Paid time off, holidays, volunteer time and jury duty pay Recognition pay
401(k) retirement savings plan with employer match

Tuition assistance

Scholarships for eligible dependents

Parental and caregiver leave

Employee charity matching program

Network Resource Groups (NRGs)

Career development opportunities
** SSN Alert Statement
** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from  with instructions on how to add the information into your official application on Humana's secure website.
** Hire Vue Statement
** As part of our hiring process for this opportunity, we will be using an interviewing technology called Hire Vue to enhance our hiring and decision-making ability. Hire Vue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Travel:
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
** Scheduled Weekly Hours
** 40
* * Pay Range
** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per…