Humana · 3 hours ago
Provider Engagement Professional - Conviva Gulf Coast of Florida
Remote Florida
Full-time
Remote
Entry, Mid Level
$52K/yr - $72K/yr
1+ years exp
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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 payers.
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.
Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
Make decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.
Follow established guidelines/procedures.
Qualification
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Required
Bachelor's Degree or 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience.
Candidates must reside within one of the following Florida counties: Sarasota, Lee, Charlotte, and Collier or live within 60-mile commute.
1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience
Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies
Demonstrated ability to manage multiple projects and meet deadlines
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Must be proficient in the Microsoft office suite
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 and Medicare Advantage policies, processes and procedures
Benefits
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
Medical, dental and vision benefits
Short-term and long-term disability
Life insurance
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10,001+ 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
2023 (217)
2022 (257)
2021 (258)
2020 (107)
Funding
Current Stage
Public CompanyTotal Funding
$6.82B2024-03-11Post Ipo Debt· $2.25B
2023-11-02Post Ipo Debt· $1.32B
2023-02-27Post Ipo Debt· $1.25B
Leadership Team
Bruce D. Broussard
President and Chief Executive Officer
Susan M. Diamond
CFO
Recent News
MedCity News
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Company data provided by crunchbase
