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Humana Provider Engagement Consultant

Details
Placed on 7/16/2017
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Views: 181
Web ID 91091-02
Keyword:Humana Provider Engagement Consultant
The Provider Engagement Consultant will provide consultation services to develop and maintain positive relationships with health care providers that result in optimal outcomes for
providers, members and Humana. You will work in an assigned geographic area on the western slope of Colorado, including Grand Junction and outlying areas
Liaison with health care providers for performance
management of maximization of revenue, cost management, achievement of quality incentives and membership
growth strategies
Coordinate and facilitate regularly scheduled provider meetings to discuss operational and strategic initiatives
and improvements
Collaborates with other teams to achieve established metrics
Collaborate and coordinate with all internal partners in order to develop professional & comprehensive information, ideas and plans with providers
Accountable for follow-through & follow-up
Influence the provider's opinion of Humana and
our organization
Role Essentials:
High school diploma or equivalent
Professional certification in healthcare related area and/or direct Medicare managed care experience
Must reside in the Grand Junction area
Strong relationship building skills in a provider relations/network environment
Prior experience in health care, including either doctor's
office, hospital or other health plan related setting
Knowledge of CPT & HCC coding systems
Intermediate knowledge of Microsoft Office Word, Excel, PowerPoint & Outlook
Proven analytical skills
Excellent verbal & written communication skills with
demonstrated presentation skills
Ability to be a self-starter, ability to work independently, be self-directed and handle ambiguity
Demonstrated organizational skills and ability to manage multiple priorities
Ability to regularly travel about 50% within western slope of Colorado, including Grand Junction and outlying areas

Role Desirables: Bachelors degree preferred

Reporting Relationships:
You will report to Market Manager. This area is under the leadership of the SVP & Chief Operating Officer.
Apply at humana.com/careers req.# 177676
humana.com/careers
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