Humana · 12 hours ago
Director, Provider Engagement
United States
Full-time
Remote
Senior Level, Lead/Staff
$139K/yr - $191K/yr
8+ years expHumana Inc. is committed to putting health first, and they are seeking a Director of Provider Engagement to develop and grow relationships with healthcare providers. This role focuses on enhancing financial performance and quality improvement programs while overseeing strategic initiatives to support market growth and provider satisfaction.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Lead strategic relationships between the health plan and providers, focusing on financial performance, incentive programs, quality improvement, clinical management, and population health programs
Oversee and guide enhancements in data sharing, connectivity, documentation, coding accuracy, HEDIS and STARs performance, and operational processes to improve provider outcomes and member experience
Implement new or updated programs and large-scale projects, ensuring understanding of technical and operational procedures for execution
Develop strategic plans to support market growth, provider satisfaction
Provide informed input into functional strategy, contributing to organizational goals and performance improvement
Collaborate with all partners to foster provider engagement and deliver measurable improvements across all main performance areas
Qualification
Required
Master's degree from an accredited institution
Minimum of 8 years of experience in provider contracting or a related field
At least 5 years of proven management experience, demonstrating leadership and team development skills
5 years of direct experience working with Louisiana Medicaid programs, including familiarity with relevant policies and regulations
Demonstrated relationship-building skills, with a proven ability to establish and strengthen partnerships with providers and stakeholders through effective verbal and written communication of complex information
Demonstrated ability to proficiently utilize Microsoft Office applications—including Word, Excel, PowerPoint, Teams, and Outlook—for preparing reports, conducting analyses, and delivering effective presentations
Willingness to travel up to 25% of the time to meet our needs
Residency within the state of Louisiana is mandatory
Preferred
Prior work experience in the health solutions industry with demonstrated success directing and leading teams
Proficiency in quality improvement processes, analyzing and interpreting financial trends
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
Cynthia Zipperle
Vice President, Chief Accounting Officer and Controller
Recent News
2026-02-04
HealthCareIT News
2026-02-04
HealthCareIT News
2026-02-04
Company data provided by crunchbase