Provider Engagement Executive I-SNP - WAH Chicago Metro area

Profile

Job Information
Humana
Provider Engagement Executive I-SNP - WAH Chicago Metro area
in
Chicago
Illinois
Description
The Provider Engagement Executive I-SNP develops and grows positive, long-term relationships with skilled nursing facilities, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Provider Engagement Executive works on problems of diverse scope and complexity ranging from moderate to substantial.
Responsibilities
Job Description
The Provider Engagement Executive represents the scope of health plan/provider relationship across such areas as financial performance, incentive programs, quality and clinical management, 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. Uses independent judgment requiring analysis of variable factors and determining the best course of action. Works as a liaison between skilled nursing facilities and MarketPoint sales agents to support product distribution efforts and cultivate relationships that are pivotal for product growth.
Required Qualifications
Bachelor's Degree
3 years of experience in Health care or managed care with Provider Relations experience
Experience with Nursing Home settings
Demonstrated project management experience in a complex health care environment and partnering with senior leadership on strategic initiatives
Proven planning, preparation and presenting skills
Demonstrated ability to manage multiple projects and meet deadlines
Comprehensive knowledge of all Microsoft Office applications
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Ability to travel within the Chicago Metro region up to 50% of the time
Preferred Qualifications
Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance
Experience partnering with a professional sales and sales support organization
Comprehensive knowledge of Medicare policies, processes and procedures
I-SNP Product experience
Scheduled Weekly Hours
40

Company info

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