Provider Relations Representative

About this role

Become a part of our caring community   Join our growing team as a Provider Engagement Professional 2 reporting to the Manager, Provide Engagement, responsible for day-to-day, front-line relationship management for network providers in Humana. This role supports provider onboarding, training, education, and inquiry/issue support and resolution. The individual in this role should have critical thinking/problem solving skills, an understanding of health plan operations, and strong interpersonal skills. This role develops and grows positive, long-term relationships with physicians, providers and healthcare systems

Key Role Objectives • Serve as primary relationship manager with assigned LTSS providers to ensure positive provider experience with Humana’s Dual Fully Integrated plan of Illinois and promote network retention • Meet regularly, both in-person and virtually, with assigned providers to conduct training and education, including, but not limited to, required annual trainings, periodic updates to and/or reviews of Humana policies and procedures, and Humana systems training and updates • Support newly assigned providers with onboarding, including hosting orientation session(s) • Respond to assigned provider inquiries and support prompt issue resolution, including, where necessary, collaboration with appropriate enterprise business teams (ex., claims payment, prior authorizations & referrals) • Work with internal resources and systems (e.g., claims, reimbursement, provider enrollment) to provide the Exceptional Experience in all provider interactions • Create provider trainings based on provider feedback, trends in claims or process changes • Educate provider on location and content of all provider facing materials (Orientation, Provider Manual, Newsletter, Program Updates, Etc.) • Convene regular meetings with providers, including organizing agendas, materials, meeting minutes, other team members (clinical, provider engagement), to discuss key operational, clinical, and quality related topics • Educate on processes including claims submissions, recoupments, reconsiderations, authorizations, referrals, medical record management, Availity, Quality resources, and member resources • Communicate updates on Humana’s policies and procedures and Cardinal Care programmatic updates • Coordinate periodic regional provider townhalls and/or trainings • Attend Network Meetings/Conferences • Ensure compliance with all Illinois managed care contractual requirements for provider relations, s uch as timeframes for claims dispute resolution, provider complaints, provider inquiry response, etc.  

Use your skills to make an impact   Required Qualifications   • Must reside in Illinois • Position is field based in Illinois and requires 50% travel in Illinois • 2 or more years of health care or managed care experience working with providers (e.g., provider relations, claims education) • Experience working with LTSS provider, Skilled Nursing facilities, Atypical provider types • Experience in provider operations, building strong relationships with provider organizations, financial/contracting arrangements, and/or regulatory requirements • Exceptional relationship management and interpersonal skills • Proficiency in analyzing, understanding, resolving, and communicating complex issues • Thorough understanding of managed care contracts, including contract language and reimbursement • Strong presentation and facilitation skills

Preferred Qualifications • Experience with Illinois Medicaid • Understanding of claims systems, adjudication, submission processes, coding, and/or dispute resolution

• Understanding of service coordination, prior authorizations, and other health plan processes • Understanding of value-based payment programs

Additional Information • Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.

• Typical Work Days/Hours: Monday – Friday, 8:00 am – 5:00 pm CST

Driving 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. Mileage reimbursement is provided for work-related travel. Eligible mileage includes: • Travel from your home to your first work location of the day.

• Travel between client or assignment locations during the workday.

• Travel from your final work location back to your home.

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 required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.   Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.  

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.   $65,200 - $89,000 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-

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