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Humana Provider Engagement Executive Jobs (NOW HIRING)

H. T. PROF Group

$150K - $180K/yr

Director of Quality & Provider Engagement Type Direct Hire ID NY177-2757675 Posted Sep 4, 2026 ... executive leadership. Reporting to the Chief Medical Officer, the Director of Quality & Provider ...

Peraton

Executive Engagement Facilitator

Mclean, VA · On-site

$135K - $216K/yr

The Executive Engagement Facilitator operates within a high-visibility executive secretariat ... As the world's leading mission capability integrator and transformative enterprise IT provider, we ...

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Humana Provider Engagement Executive information

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$11K

$121.3K

$242K

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

As of Sep 11, 2026, the average yearly pay for humana provider engagement executive in the United States is $121,291.00, according to ZipRecruiter salary data. Most workers in this role earn between $84,500.00 and $155,000.00 per year, depending on experience, location, and employer.

What is a Humana Provider Engagement Executive?

A Humana Provider Engagement Executive is a professional who works for Humana, a health insurance company, to build and maintain strong relationships with healthcare providers. Their primary role is to engage with physicians, hospitals, and other care providers to ensure high-quality care for Humana members and to support providers in understanding Humana’s policies, programs, and value-based care initiatives. They often act as a liaison between Humana and healthcare providers to resolve issues, improve collaboration, and drive performance improvement. The goal is to enhance the provider experience and ultimately improve health outcomes for patients.

What are the key skills and qualifications needed to thrive as a Humana Provider Engagement Executive?

To thrive as a Humana Provider Engagement Executive, you need a solid understanding of healthcare operations, account management, and provider relations, often supported by a bachelor's degree in healthcare administration or a related field. Familiarity with CRM systems, healthcare data analytics tools, and regulatory compliance platforms is typically required. Strong interpersonal communication, negotiation abilities, and problem-solving skills set top performers apart in this role. These competencies drive successful partnerships, ensure provider satisfaction, and support organizational goals in a complex healthcare environment.

What are some typical challenges faced by a Humana Provider Engagement Executive, and how can they be addressed effectively?

A Humana Provider Engagement Executive often encounters challenges such as aligning provider practices with Humana's quality initiatives, navigating complex healthcare regulations, and fostering strong relationships across diverse provider groups. Success in this role relies on effective communication, adaptability, and a deep understanding of both clinical and business objectives. Building trust through regular, transparent interactions and leveraging data-driven insights can help address concerns and drive mutual goals, ultimately improving patient outcomes and provider satisfaction.

What is the difference between Humana Provider Engagement Executive vs Humana Provider Relations Specialist?

AspectHumana Provider Engagement ExecutiveHumana Provider Relations Specialist
CredentialsTypically requires a bachelor's degree, relevant certifications, and experience in healthcare or provider relationsUsually requires a bachelor's degree and experience in provider or customer service roles
Work EnvironmentStrategic, high-level engagement with providers, often involving meetings and relationship managementOperational support, handling provider inquiries, and maintaining provider networks
Employer & Industry UsageUsed in healthcare insurance companies like Humana for strategic provider engagement rolesCommonly used for roles focused on provider support and network management within Humana

The Humana Provider Engagement Executive focuses on building strategic relationships with healthcare providers and managing provider networks at a higher level. In contrast, the Humana Provider Relations Specialist handles day-to-day provider inquiries and operational support. Both roles are essential in healthcare insurance but differ in scope and responsibilities.

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

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

Infographic showing various Humana Provider Engagement Executive job openings in the United States as of September 2026, with employment types broken down into 100% Full Time. Highlights an 43% In-person, and 57% Remote job distribution, with an average salary of $121,291 per year, or $58.3 per hour.

Director of Quality & Provider Engagement

On-site

H. T. PROF Group
See more jobs at H. T. PROF Groupexternal

$150K - $180K/yr

Other

Life, Retirement, PTO

Posted 5 days ago

Job description

Director of Quality & Provider Engagement

Type Direct Hire

ID NY177-2757675

Posted Sep 4, 2026

Director of Quality & Provider Engagement

New York, NY (Hybrid) | Full-time

Salary range: $150,000 to $180,000

We are partnering with a high-performing independent physician association (IPA) in the New York metro area that supports a large network of providers and several hundred thousand patients, a substantial share of them under value-based care arrangements. The organization is financially stable, growing, and recognized for strong quality performance. This is a rare chance to own and elevate quality across a large value-based network, with meaningful autonomy and a direct line to executive leadership.

Reporting to the Chief Medical Officer, the Director of Quality & Provider Engagement leads both the Quality and Provider Engagement functions. You will own overall quality performance across the value-based book, turn data into measurable improvement, and bring operational rigor to a fast-growing organization. This role is a fit for a strong analytical thinker and hands-on leader who is equally at home in the data and leading and developing a team.

What you'll do
  • Own overall quality performance for the IPA/ACO, including HEDIS, QARR, patient satisfaction, and Star Ratings.
  • Develop and drive the quality improvement strategy through data analysis, stakeholder engagement, and health-plan collaboration.
  • Lead and mentor the Quality team, translating analytics into actionable improvement plans.
  • Provide leadership and structure to the Provider Engagement team, operationalizing quality strategies at the practice level through provider coaching, EMR-configuration support, and feedback loops.
  • Build and deepen provider relationships, and lead provider education on documentation and risk adjustment.
  • Establish operational performance metrics and processes, including workload distribution and output tracking, and lead digital transformation to reduce manual reporting.
  • Partner with IT, data, and finance, and support the distribution of quality incentives, risk-adjustment earnings, and shared savings.
  • Own programs that improve member quality, engagement, and retention across the network.
What you'll bring

Required:

  • Strong analytical and problem-solving skills, with the ability to turn complex data into insight and action.
  • Quality or HEDIS performance experience under value-based care, at a managed-care plan, value-based provider organization, or ACO (not a hospital-QA-only background). Roughly 5+ years, though we weight depth of skill over tenure.
  • Advanced data literacy, genuinely hands-on with Excel and large datasets to identify gaps and opportunities.
  • Experience managing and developing people.
  • Ability to translate quality analysis into practice-level action.
  • Comfort operating in a fast-growing, less-structured environment where you help build the structure.

We value depth of skill and accomplishments over years in seat, so we encourage strong candidates to apply even if they do not meet every line above.

Preferred:

  • Deep, hands-on expertise with CMS Star Ratings and HEDIS/QARR.
  • Experience working with independent providers in an IPA or managed-care setting.
  • Provider-engagement or provider-relations leadership experience.
  • Experience implementing a CRM or building operational performance metrics from the ground up.
  • Master's degree in a relevant field.
  • Experience at a large IPA or ACO, or with a Medicaid-heavy population and multiple plan contracts.
  • Familiarity with EMR configuration or clinical-implementation workflows.
  • In the first 90 days, assess current quality performance, team capabilities, and operational gaps, and deliver a prioritized improvement roadmap.
  • By six months, stand up operational metrics and workload tracking, with early, measurable movement on priority measures.
  • By twelve months, deliver measurable improvement in quality and value-based performance, supported by a high-functioning, well-led team.
  • Competitive salary of $150,000 to $180,000.
  • Company-paid life insurance.
  • 401(k) retirement plan with a 6% corporate match.
  • Generous paid time off and 13 paid holidays.
  • A direct line to executive leadership and the opportunity to shape quality strategy for a large, high-performing network.
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