Specialty Provider Engagement Executive- TN

Profile

Job Information

Humana

Specialty Provider Engagement Executive- TN

in

Brentwood

Tennessee

Description

The Specialty Provider Engagement Executive develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Specialist Provider Engagement Executive works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Specialty Provider Engagement Executive identifies opportunities to positively impact trends through analysis of effectiveness and efficiency data. Develops and/or executes strategy to positively impact trends. Interfaces with provider groups on a regular basis. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Required Qualifications

2 years of demonstrated project management experience and partnering with senior leadership on strategic initiatives

Comprehensive knowledge of Microsoft Office Applications including Excel and PowerPoint

In-depth experience in Microsoft Excel including formulas, pivots, charts, and graphs

Strategic thinking and planning capabilities; organized and detail-oriented

Excellent written and verbal communication skills

Excellent relationship building skills with both internal and external partners

Willingness to manage and prioritize diverse projects

Reliable transportation, valid driver's license with the ability to travel up to 30% of the time within the Mid-South region (Tennessee, Alabama, Southwest Virginia)

Preferred Qualifications

Bachelor's Degree

Business and financial acumen in the health care field

Proficiency in analyzing and interpreting financial trends for health care costs

Experience and understanding of Managed Care

Understanding of managed care reimbursement methodologies

Comprehensive knowledge of Medicare policies, processes and procedures

Health care or managed care experience in Provider Contracting, Network Management, Provider Relations or healthcare analytics

Additional Information

This position is remote/work at home, however, the preferred candidate will live within the stated region

Work at Home/Remote Requirements Must ensure designated work area is free from distractions during work hours and virtual meetings Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required

For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

Provide proof of full vaccination or commit to testing protocols

*OR  *

Provide proof of applicable exemption including any required supporting documentation

​​Medical, religious, state and remote-only work exemptions are available.

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire Voice to enhance our hiring and decision-making ability. Modern Hire Voice allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a Modern Hire Voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com