Manager, Provider Engagement jobs in United States
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Humana · 18 hours ago

Manager, Provider Engagement

Humana is committed to putting health first and is seeking a Manager, Provider Engagement to develop and grow relationships with healthcare providers. This role involves leading a team to enhance provider relations, facilitate training, and address provider inquiries to support operational improvements.

Health CareHealth InsuranceInsuranceVenture Capital
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H1B Sponsor Likelynote

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
Lead a team of provider relations associates responsible for growing positive, long-term relationships with network PCP/Medical, behavioral health and Long-Term Services and Support (LTSS) providers
Facilitate a positive provider relationship management experience, through provider training, education, responding to provider inquiries, and resolving issues or complaints
Identify and lead opportunities to make changes to improve operations across teams

Qualification

Managed care operationsProvider relationsMedicareMedicaidContract negotiationMicrosoft OfficeTeam managementRelationship managementProject managementPresentation skills

Required

The applicant must be located in MI or willing to relocate to the Metro Detroit area
Ability to travel as needed throughout Michigan
Bachelor's Degree with 4 or more years of progressive experience in managed care operations, including network management and provider relations OR High School Diploma with 7 or more years of progressive experience in managed care operations, including network management and provider relations
Experience working for or with key provider types (such as primary care, FQHCs, hospitals, nursing facilities, and/or HCBS and LTSS providers)
2+ years of management and team building experience including supervising a staff of at least 5-10 employees
Prior experience working in and strong understanding of Medicare and Medicaid /HIDE DSNP
Proven planning, preparation and presenting skills
Demonstrated ability to manage multiple projects and meet deadlines
Exceptional relationship management skills
Ability to manage multiple priorities in a fast-paced environment
Knowledge of Microsoft Office applications

Preferred

Master's Degree
Experience in and/or understanding of Michigan's Dual Integrated (HMO D-SNP) provider landscape and networks
Contract negotiation and implementation 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 is a health insurance provider for individuals, families, and businesses.

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 Company
Total Funding
$13.07B
2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B

Leadership Team

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Jim Rechtin
CEO and President
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Colin Drylie
Senior Vice President, Experience Transformation
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Company data provided by crunchbase