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Humana Provider Engagement Executive - Alabama in Birmingham, Alabama

Description

The Provider Engagement Executive 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 Executive works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Provider Engagement Executive identifies opportunities to positively impact trends through analysis of effectiveness and efficiency data. Develops and/or executes strategy to positively impact trends. Interfaces with provider groups on a regular basis. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action.

Required Qualifications

  • Bachelor's Degree

  • 2+ years of demonstrated project management experience and partnering with senior leadership on strategic initiatives

  • Comprehensive knowledge of Microsoft Office Applications including Excel and PowerPoint

  • In-depth experience in Microsoft Excel including formulas, pivots, charts, and graphs

  • Strategic thinking and planning capabilities; organized and detail-oriented

  • Excellent written and verbal communication skills

  • Excellent relationship building skills with both internal and external partners

  • Willingness to manage and prioritize diverse projects

  • Reliable transportation, valid driver’s license with the ability to travel within the region up to 75% of the time within Alabama. Some travel in Tennessee, limited travel outside the Mid-South region

Preferred Qualifications

  • Business and financial acumen in the health care field

  • Proficiency in analyzing and interpreting financial trends for health care costs

  • Experience and understanding of Managed Care

  • Understanding of managed care reimbursement methodologies

  • Comprehensive knowledge of Medicare policies, processes and procedures

  • 3+ years of Health care or managed care experience in Provider Contracting, Network Management, Provider Relations or healthcare analytics

Additional InformationInterview Format As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire Voice to enhance our hiring and decision-making ability. Modern Hire Voice 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. If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a Modern Hire Voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

About Us

Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailboxtasrecruit@humana.com for assistance.

Humana Safety and Security

Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailboxtasrecruit@humana.com to validate the request.

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