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Provider Engagement Executive - NYC

Role: Provider EngagementExecutive

Assignment: Market Management

Location: New York City, NY

Humana needs your skills to help ustell a compelling story about healthcare today with our Primary Care Providersacross all lines of business. You will be the defined point of contact forPCPs and responsible for the financial performance of PCPs and IDSes. You willbe successful by creating strategic partnerships with providers to improvehealth efficacy and efficiency and manage provider groups to collective qualityand P&L results and goals. We’re looking for driven, innovativepeople who are interested in using their data-mining and analytical skills tohelp our providers and ultimately our members to achieve lifelong well-beingand help Humana make lasting, positive changes in the healthcare industry.

Assignment Capsule
Be a part of the Market Operationsworld as a Provider Engagement Executive, PEX – Create strategic provider partnershipswith large, engaged providers to improve their experience with Humana. You will manage provider groups to enhancequality and P&L results and goals. Bea strong partner and build relationships with internal stakeholders to create aseamless experience for the provider.

Humana is seeking a StrategicConsultant who will use discipline and expertise to influence, lead and educatepeople and groups in order to optimize Market Operations results.

    Role Essentials

    • Bachelor’s degree
    • 5+ years of progressive experience working in managed care
    • Understanding of STARS and HEDIS measures
    • Experience in implementing strategy to support value-based provider agreements
    • Strategic thinking and planning capabilities; organized and detail-oriented
    • Working knowledge of MS Word, Excel (pivot tables, bars/graphs, etc.) and PowerPoint
    • Excellent written and verbal communication skills
    • Excellent relationship building skills with both internal and external partners with ability to partner with senior leadership
    • Enthusiasm and motivation essential; a confident change-agent; strong selling and presentation skills (oral and written)
    • Willingness to manage and prioritize diverse projects
    • Business and financial acumen in the health care field.
    • Marketing and communications skills are optimal
    • Valid driver's license and reliable transportation with ability and willingness to travel around the region up to 50% of the time.

    Role Desirables

    • Graduate degree preferred
    • Clinical/RN background
    • Knowledge of Humana’s internal policies, procedures and systems
    Additional InformationAt 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. After applying, we encourage you to join our Talent Network as well, so you can stay informed and up to date on what’s happening around our organization in the changing world of healthcare.
    Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.