Humana Provider Engagement Consultant- Asheville or Hickory North Carolina in Asheville, North Carolina


Role:Provider Engagement Consultant Assignment:Sr Medicare Products Location:Asheville, Hickory, Boone, Lincoln, Hendersonville or Morganton

Assignment Capsule Humana is seeking a Provider Engagement Consultant who will develop and maintain key relationships; works with assigned area to optimize business results. Manage provider groups to achieve quality and P&L goals. Create strategic provider partnerships to improve health efficiencies, and foster provider experience while ensuring cohesion across product lines. Create strategic provider partnerships with path to value providers to improve their experience with Humana. Be a strong partner and build relationships with internal stakeholders to create a seamless experience for the provider. * Design and execute profitable growth strategies to align with the Provider Engagement Director’s market strategy and the provider’s needs * Develop and/or implement processes and data sharing structure for assigned unengaged providers * Strong facilitation skills with an ability to run provider meetings with prioritized specific topic agenda reflecting entire provider support organization * Develop and review Dashboard Metrics (quality, financial, triple AIM) and translate into actionable items based on group specifics * Work with providers on entry level platform with intent to educate on path to risk, assist with gap closure, educate around Humana Pharmacy and Medicare Risk Adjustment as well as Care Management programs * Ability to train others to use the tools that will enable the PCP to be successful * Partner with all internal stakeholders and leverage the experience from all departments * Be the defined point of contact for your assigned providers * Escalate claims issues to the SAM on provider behalf to improve the provider experience * Manage provider continuum, prospecting the provider’s readiness for enhanced value based opportunities

Role Essentials * Experience thriving in a matrix environment * Prior experience in healthcare or managed care * Excellent communication skills, both oral and written * Strong relationship building skills * Excellent PC skills and proven analytical skills * Ability to handle multiple tasks and deadlines with attention to detail. * This role is part of Humana’s Driver safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits.

Role Desirables * Bachelor's degree preferred * Prior experience with Medicare Advantage * Working knowledge of value based collaborations, HEDIS & Stars Measures

Job Market Management

Title: Provider Engagement Consultant- Asheville or Hickory North Carolina

Location: US

Other Locations: US-North Carolina-Asheville

Requisition ID: 169282