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    Associate director - Oklahoma City, United States - Humana

    Humana
    Humana Oklahoma City, United States

    4 weeks ago

    Humana background
    Description
    Become a part of our caring community and help us put health first

    The Associate Director, Provider Engagement 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 Associate Director, Provider Engagement requires a solid understanding of how organization capabilities interrelate across department(s).


    The Associate Director, Provider Engagement represents the scope of health plan/provider relationship across such areas 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.

    Decisions are typically related to identifying and resolving complex technical and operational problems within department(s), and could lead multiple managers or highly specialized professional associates.

    Use your skills to make an impact
    Required Qualifications
    Bachelor's Degree or Equivalent working experience
    6 or more years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience
    2 or more years of demonstrated management experience and partnering with senior leadership on strategic initiatives
    Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies
    Demonstrated ability to manage multiple projects and meet deadlines
    Comprehensive knowledge of all Microsoft Office applications
    Ability to travel as needed within Oklahoma
    Must be passionate about contributing to an organization focused on continuously improving consumer experiences
    Preferred Qualifications
    Master's Degree
    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
    Additional Information
    Why Humana
    Humana offers a variety of benefits to promote the best health and well-being of our employees and their families.

    We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

    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

    Work-At-Home Requirements
    To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
    At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
    Satellite, cellular and microwave connection can be used only if approved by leadership.

    Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

    Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

    Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

    Interview Format

    As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability.

    Modern Hire 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.

    Social Security Task
    Humana values personal identity protection.

    Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file.

    When required, an email will be sent from with instructions on how to add the information into your official application on Humana's secure website.

    Scheduled Weekly Hours
    40

    Pay Range

    The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting.

    The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

    $102,200 - $140,700 per year
    This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

    Description of Benefits
    Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being.

    Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.

    Among our benefits, Humana provides 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 and many other opportunities.

    About us
    Humana Inc

    (NYSE:

    HUM) is committed to putting health first – for our teammates, our customers and our company.

    Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

    These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

    Equal Opportunity Employer

    It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran.

    It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements.

    This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

    Not Specified
    0

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