Humana · 3 hours ago
Provider Engagement Executive
United States
Full-time
Remote
Senior Level, Lead/Staff
$86K/yr - $119K/yr
8+ years expHumana Inc. is committed to putting health first, and they are seeking a Provider Engagement Executive to develop and maintain relationships with physicians and healthcare systems. This role focuses on improving financial and quality performance within the health plan and requires independent judgment and decision-making on complex issues.
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
Advise executives to develop functional strategies on matters of significance
Exercise independent judgment and decision making on complex issues regarding job duties and related tasks, and work under minimal supervision
Qualification
Required
Bachelor's Degree and/or equivalent experience
8 or more years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience
2 or more years of demonstrated project management experience and partnering with senior leadership on strategic initiatives
Proven planning, preparation and presenting 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
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Candidates must reside in the Intermountain Region
Preferred
Candidates to reside in Washington or Oregon preferred
Master'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
Caleb Gallifant
Chief Operating Officer, CenterWell Home Health
Recent News
2026-01-16
2026-01-16
Company data provided by crunchbase