ZipRecruiter

Log In

1

Director Provider Engagement Humana Jobs (NOW HIRING)

Sky Mavis

Sr Director Provider Relations

Henderson, NV · On-site

This role leads initiatives to strengthen provider engagement, optimize provider satisfaction and ... The Senior Director serves as a strategic liaison between providers and internal operational ...

Ccrmivf

$125K - $155K/yr

Execute strategic provider engagement and market development activities to support territory growth and referral expansion. * Collaborate closely with other Regional Directors and leadership teams to ...

previous pagenext page

Showing results 21-40

All JobsProvider Engagement Humana JobsDirector Provider Engagement Humana Jobs

Director Provider Engagement Humana information

See salary details

$33K

$91.6K

$183.5K

How much do director provider engagement humana jobs pay per year?

As of Sep 11, 2026, the average yearly pay for director provider engagement humana in the United States is $91,600.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,000.00 and $110,000.00 per year, depending on experience, location, and employer.

What are popular job titles related to Director Provider Engagement Humana jobs?

For Director Provider Engagement Humana jobs, the most frequently searched job titles are:

Infographic showing various Director Provider Engagement Humana job openings in the United States as of September 2026, with employment types broken down into 1% Internship, 74% Full Time, 24% Part Time, and 1% Contract. Highlights an 72% Physical, 3% Hybrid, and 25% Remote job distribution, with an average salary of $91,600 per year, or $44 per hour.

Provider Engagement Account Manager

Bartow, GA • On-site

PROLIM Global Corporation
IT Services • 201 - 500 employees
Learn more about PROLIM Global Corporationexternal

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

PROLIM (www.prolim.com) is currently seeking Provider Engagement Account Manager for one of our top Client for Location - Remote - Territory is Bartow County, GA but candidate can live in Cherokee, Pickens, Floyd or Bartow due to field travel required 4 days a week
Qualified candidates can directly send your updated resume and contact info via email: jayaprakash.hiremath@prolim.com
Job description:
***NOTE: For this role, due to travel requirements, we are seeking candidates who live in Georgia, specifically, Bartow, Cherokee, Floyd or Pickens counties***
Position Purpose:
Maintain partnerships between the health plan and the contracted provider networks serving our communities.
Build client relations to ensure delivery of the highest level of care to our members.
Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution.
Drive optimal performance in contract incentive performance, quality, and cost utilization.
Serve as primary contact for providers and act as a liaison between the providers and the health plan
Triages provider issues as needed for resolution to internal partners
Receive and effectively respond to external provider related issues
Investigate, resolve and communicate provider claim issues and changes
Initiate data entry of provider-related demographic information changes
Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics
Perform provider orientations and ongoing provider education, including writing and updating orientation materials
Manages Network performance for assigned territory through a consultative/account management approach
Evaluates provider performance and develops strategic plan to improve performance
Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.
Completes special projects as assigned
Ability to travel locally 4 days a week
Performs other duties as assigned
Complies with all policies and standards
Direct Provider Engagement: Conducts regular in-person visits with physicians to provide real-time support, discuss performance metrics, and identify opportunities for improvement in patient care and clinical practices.
Value-Based Care Model: Focuses on value-based care model initiatives, collaborating with physicians to identify and align to performance-based agreements that incentivize better patient outcomes, cost-efficiency, and quality care.
Performance Management: Uses data analytics to track and monitor provider performance, offering actionable feedback to help physicians optimize care delivery and meet key performance targets.
Education/Experience:
Bachelor's degree in related field or equivalent experience
Two years of provider engagement account management experience
Project management experience at a medical group, IPA, or health plan setting
Proficient in HEDIS/Quality measures, cost (MLR) and utilization
Required Skills
* In person provider engagement experience.
* Risk experience (Health Benefit Ratio, emergency room utilization, cost utilization-reducing high-cost drivers)
Preferred or Nice-to-have Skills
* HEDIS/Quality Improvement
* Value-based care
* Claims processing knowledge
Years of Experience: * Bachelor's degree in related field or equivalent experience and 2 years in person provider engagement experience
Industry Experience: * Managed care * Accountable Care Organization (ACO) or Independent Practice Association (IPA) experience
Education Requirements: * Bachelor's degree in related field or equivalent experience
About PROLIM
PROLIM is a leading provider of PLM, IoT and Digital transformation solutions to Global Fortune 1000 companies. With 9 global offices in US, India, and Australia, PROLIM has won 30+ awards and proudly serving over 1200+ customers to innovate and improve their profitability and efficiency. PROLIM was founded in 2005 and is headquartered in Farmington Hills, USA. With the global footprint and expertise in latest technologies, PROLIM can partner with you to speed up your Digital Transformation journey.

Apply