Humana · 1 day ago
Director, Provider Engagement
United States
Full-time
Remote
Mid, Senior Level
$139K/yr - $191K/yr
5+ years expHumana Inc. is committed to putting health first and is seeking a Director of Provider Engagement to develop and grow positive relationships with healthcare providers. This role involves improving financial and quality performance within contracted relationships, overseeing areas such as financial performance, quality management, and operational improvements.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Develop and grow positive, long-term relationships with physicians, providers and healthcare systems
Support and improve financial and quality performance within the contracted working relationship with the health plan
Represent the scope of health plan/provider relationship across areas such as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to provider performance, member experience, market growth, provider experience and operational excellence
Make decisions related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes
Develop and implement strategic plans, drive goals and objectives, and improve performance
Qualification
Required
5+ years of experience in healthcare operations, finance, medical economics and/or provider network management
3+ years of experience HEDIS/Stars experience, with proficiency in quality improvement processes, analyzing and interpreting trends
Demonstrated success directing and leading teams
Strong relationship building skills
Demonstrated ability to articulate ideas effectively in both written and oral forms
Comprehensive knowledge of all Microsoft Office applications
Ability to travel
Bachelor's degree
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred
Master's Degree
Provider Contracting experience
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
Company data provided by crunchbase