Provider Engagement Executive - Remote Salt Lake City

Become a part of our caring community and help us put health first The Provider Engagement leader 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 Provider Engagement leader works on problems of diverse scope and complexity ranging from moderate to substantial.The Provider Engagement leader 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. 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.**INCUMBENT MUST RESIDE IN SALT LAKE CITY METRO AREA.Job FunctionsResponsible for Practice EngagementTraining staff on programs, technology and processes.Onboarding new practices.Improving performance of practices.Evaluate practice workflowReview and analyze data and make recommendationsResponsible for performance managementRequired QualificationsA minimum of five years of healthcare or managed care experience, preferably in a primary care practiceOperational experience with managing value-based contracts, population health, or other healthcare performance improvementProven planning, preparation and presenting skills, with established knowledge of clinician reimbursement and bonus methodologiesDemonstrated ability to manage multiple projects and meet deadlinesComprehensive knowledge of all Microsoft Office applicationsAbility to operate independently in support of this market.STARS experienceProven success in managing Value Based Care contracts.Experience in MSO, Payor Org.Experience in Medicare Risk Adjustment, Cost Management, Utilization Management.Advanced organizational skills and/or project managementAbility to travel as neededPreferred QualificationsBachelor and/or Master's DegreeProficiency in analyzing and interpreting financial trends for health care costs, administrative expenses, and quality/bonus performanceComprehensive knowledge of Medicare policies, processes, and proceduresAdditional informationRemote RoleIncumbent must be based in Salt Lake City, UT metro areaRole requires <=50% local travel; mileage reimbursement will be issued.Work at Home StatementTo 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 required; 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. Use your skills to make an impact AlertHumana 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 Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.Interview Format – HireVueAs part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue 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.BenefitsHumana 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 1Paid 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 opportunitie