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Associate Director, Provider Engagement

Humana Ridgeland, MS
  • Expired: September 22, 2019. Applications are no longer accepted.

Description
The Associate Director, Provider Engagement 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 Associate Director, Provider Engagement requires a solid understanding of how organization capabilities interrelate across department(s).
Responsibilities

The Associate Director, Provider Engagement represents the scope of health plan/provider relationship across Provider Payment Integrity, which includes such areas as financial performance, data sharing, connectivity, documentation and coding, operational improvements and other areas as they relate to provider performance, member experience, market growth, provider experience and operational excellence. This role is heavily engaged in resolving complex technical and operational problems, leveraging data and resources across the organization, influencing strategy and driving change, and leading multiple managers and highly specialized professional associates.

Must Haves

5+ years of management experience leading a high performing team

5+ years of experience in contracting, network management or provider relations

Significant knowledge of reimbursement practices within a health payer environment

Proven strategic planning and consultative skills, and engagement with senior leadership

Business acumen and financial acuity with ability to assess and respond to unique market and provider needs

Excellent communication skills with experience delivering complex concepts to all levels

Able to build sustaining relationships and leverage matrix resources

Demonstrated ability to manage multiple projects and meet deadlines

Proven negotiation skills

Comprehensive knowledge of all Microsoft Office applications

Ability to travel as needed

Nice to Have

Practical experience with provider payment integrity concepts

Proficiency in analyzing and interpreting financial trends for health care costs

Comprehensive knowledge of Medicare and/or Medicaid policies, processes, and procedures

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 mailbox_tas_recruit@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 mailbox_tas_recruit@humana.com to validate the request.

Humana

Address

Ridgeland, MS
39157 USA