Humana
Humana
Humana एक स्वास्थ्य सेवा और स्वास्थ्य बीमा कंपनी है, जो व्यक्तियों, समुदायों और व्यापक स्वास्थ्य सेवा प्रणाली के स्वास्थ्य परिणामों में सुधार लाने पर केंद्रित है। इसके कार्य में मेडिकेयर एडवांटेज HMO, PPO और PFFS योजनाएँ शामिल हैं, जो वरिष्ठ नागरिकों और सैन्य सदस्यों जैसी आबादियों की सेवा करती हैं। Humana एक समावेशी कार्यस्थल पर भी ज़ोर देती है, जहाँ अपनापन, पारस्परिक सम्मान और कर्मचारियों के लिए कंपनी के स्वास्थ्य-केंद्रित मिशन में योगदान देने के अवसर महत्वपूर्ण हैं।

Provider Engagement Executive – Virginia (Remote)

Lead provider relationships and value-based care performance for Humana’s Virginia health plan. Analyze HEDIS, quality, utilization, and financial data to improve outcomes and provider performance.

विवरण

  • Manage health plan and provider relationships spanning financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs results, and operational improvement.
  • Build and sustain provider partnerships that strengthen provider experience and satisfaction while advancing quality improvement and value-based payment performance.
  • Coordinate quality and value-based payment data among providers and internal corporate teams.
  • Work with providers to identify population-level and individual health needs and develop tailored interventions.
  • Collect and evaluate provider performance reports, HEDIS measures, enrollee feedback, utilization patterns, clinical trends, and other performance indicators.
  • Execute strategies that enhance provider performance and promote quality-improvement best practices.
  • Lead Joint Operating Committee sessions and other provider meetings on behalf of the provider support organization.
  • Maintain compliance with state Managed Care Contractual requirements governing provider quality improvement and value-based payment arrangements.
  • Use provider feedback to guide improvements to Humana processes.
  • Oversee the provider continuum and identify prospective providers for value-based opportunities.
  • Coordinate clinical education and utilization-focused interventions.
  • Report to the Director of Provider Engagement.

आवश्यकताएँ

  • At least 8 years of health care or managed care experience in Provider Engagement, value-based programs, Provider Relations, or Quality/HEDIS.
  • At least 2 years of demonstrated project management experience overseeing multiple programs.
  • Experience planning, preparing, and delivering presentations.
  • Ability to analyze financial trends in health care costs, administrative expenses, and quality or bonus performance.
  • Comprehensive knowledge of Microsoft Office applications, including Outlook, Excel, Word, and PowerPoint.
  • Must reside in Virginia.
  • Willingness to travel up to 25% within Virginia.
  • Comprehensive knowledge of Medicaid and Medicare policies, processes, and procedures preferred.
  • Bachelor’s degree preferred.
  • Home internet service with minimum speeds of 25 Mbps download and 10 Mbps upload.
  • Dedicated workspace with no ongoing interruptions to safeguard member PHI and HIPAA information.

लाभ

  • Bonus incentive plan tied to company and/or individual performance.
  • Medical benefits.
  • Dental benefits.
  • Vision benefits.
  • 401(k) retirement savings plan.
  • Paid time off.
  • Company holidays.
  • Personal holidays.
  • Paid parental leave.
  • Paid caregiver leave.
  • Short-term disability coverage.
  • Long-term disability coverage.
  • Life insurance.
  • Remote work arrangement.
  • Access to Humana office space as needed.
  • Dedicated home workspace and internet requirements that support remote work.

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