Role: Provider Engagement Manager
*Assignment: *Senior Products Market Management
*Location: *Minnetonka, MN
Healthcare isn’t just about health anymore. It’s about caring for family, friends, finances, and personal life goals. It’s about living life fully. At Humana, we want to help people everywhere, including our associates, lead their best lives. We support our associates to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. At Humana, we’re seeking innovative people who want to make positive changes in their lives, the lives of our members, and the healthcare industry as a whole.
Be a part of the Market Operations world as a Provider Engagement Manager (PEM) – in this role you will manage the Provider Engagement staff. You will partner with the Provider Engagement Director to lead and manage the development of Humana’s overall provider relationships within a geographic region. Have the opportunity to drive strategic initiatives within the provider network and ensure that the alignment of departmental objectives is congruent with the overall business strategy.
Humana is seeking a Provider Engagement Manager who will have responsibility for managing a team of professionals while being a highly strategic partner for our market. The role will facilitate & provide detailed analysis, reporting, training, education and support to the Provider Engagement Executives and Consultants within their markets. This role will concentrate on people development, performance, compliance, and recruiting. As a PEM you will be instrumental in developing strong talent to build needed relationships with our providers.
· Management of staff including performance, compliance, recruiting
· Drive strategy for a single market with a team of highly trained professionals
* Bachelor's Degree
* Management experience, associate development, with strong leadership capabilities
* Health care or managed care with Provider Contracting, Network Management or Provider Relations experience
* Demonstrated ability to manage multiple projects and meet deadlines
* Comprehensive knowledge of Microsoft Office (PowerPoint, Excel)
* Ability to travel as needed
Role Desirables: * Strong grasp of financial and clinical acumen is optimal. * Strategic and functional execution with strategic business acumen including developing business or operating models to enable provider effectiveness. * Demonstrated ability to develop a competitive strategy, with financial and clinical acumen optimal. * Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies * 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
This role reports to the Market Director. It will require occasional overnight travel.
At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place for you at Humana.
Title: Provider Engagement Manager
Requisition ID: 179082