Humana · 2 days ago
Provider Engagement/Relations Manager
Work at Home - Oklahoma
Full-time
Hybrid
Mid, Senior Level
$86K/yr - $119K/yr
4+ years expHumana Inc. is committed to putting health first, and they are seeking a Provider Engagement/Relations Manager to lead a team dedicated to ensuring an exceptional provider experience for their Oklahoma Medicaid plan. This role involves overseeing relationship management, provider engagement, training, and operational compliance to drive provider satisfaction and adherence to regulatory requirements.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Lead, coach, and develop a team responsible for serving as the primary point of contact for physical and behavioral health providers in the Oklahoma Medicaid network
Oversee the planning and execution of regular in-person and virtual meetings with providers to deliver training, education, and orientation regarding Humana policies, procedures, and systems
Ensure new providers receive effective onboarding support, including orientation sessions and timely access to necessary resources
Supervise the teams response to provider questions and inquiries, ensuring prompt and accurate resolution in collaboration with internal enterprise business teams (e.g., claims, prior authorization, referrals, provider education)
Guide the coordination and facilitation of Service Operating Committee meetings with providers, ensuring effective agendas, materials, and cross-functional participation (clinical, provider engagement, etc.)
Ensure timely and clear communication of updates regarding Humana’s policies, procedures, and Oklahoma’s SoonerSelect program to network providers
Direct the planning and execution of regional provider townhalls and trainings to promote engagement and satisfaction
Collaborate with internal operational teams (e.g., claims, reimbursement, provider enrollment) to support high-quality provider interactions
Monitor and enforce compliance with Oklahoma managed care contractual requirements, including provider relations processes such as claims dispute resolution within required timeframes
Use data, feedback, and performance metrics to identify trends and implement continuous improvement strategies for provider engagement and retention
Represent the Provider Relations function in cross-departmental meetings and initiatives as needed
Qualification
Required
Must reside in Oklahoma
4+ years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience
2+ years of demonstrated management experience and partnering with senior leadership on strategic initiatives
Proven planning, preparation and presentation skills, with established knowledge of reimbursement and bonus methodologies
Demonstrated ability to manage multiple projects and meet deadlines
Comprehensive knowledge of all Microsoft Office applications
Ability to travel, as needed
Preferred
Bachelor's Degree
Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance
Comprehensive knowledge of Medicare policies, processes and procedures
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-07
2026-01-06
2026-01-04
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