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Sr. Provider Engagement Professional

Humana
Washington, United StatesRemotefull_timeVerifiedPosted 16 Dec 2025
💰 $97,800/yr($71,100/yr$97,800/yr)

About the role

Become a part of our caring community and help us put health first
 

The DSNP Senior Provider Engagement Professional plays a critical role in managing operational processes, compliance activities, and provider engagement for the DSNP plans. This position ensures accurate program tracking, supports payer relationships, facilitates training and communication across internal and external stakeholders. The DSNP Senior Provider Engagement Professional supports positive, long-term relationships with brokers, healthcare systems, and state government and community-based organizations, and other health plans in order to support and improve the strategy and quality performance within the DSNP population in the Intermountain Region. The Senior Provider Engagement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

This role provides end-to-end oversight of the DSNP Health Home program, ensuring smooth operations and compliance. Key responsibilities include tracking program activity, maintaining accurate policies and procedures, and supporting payer partnerships through meeting coordination and presentation development. The position also leads training efforts for internal teams and external stakeholders. 

Collaboration is essential, working with partners to resolve plan issues and supporting member communications. The role manages system access for state platforms, oversees compliance projects, and ensures timely updates to provider manuals and websites. Additional duties include maintaining contact lists, handling data files, and providing backup support for program communications. 

The position will provide support to meet expectations in the 2026 and future SMACs including but not limited to issuing required notices to long-term services and supports when criteria is met and may provide coordination support with complex hospital discharge cases. Overall, this role combines operational management and compliance oversight support to keep the DSNP programs running effectively. 

Additional duties as assigned.   


Use your skills to make an impact
 

Required Qualifications 

  • Bachelor’s degree, preferably in healthcare administration, public health, health informatics, social services, nursing, business administration or other related field. 

  • 3 years of experience in managed care, DSNP programs, health home operations, network management, provider relations, or work with state health agencies/community organizations.  

  • In-depth knowledge of CMS and state regulations for DSNP, Medicare/Medicaid, and related programs.  

  • Strong organizational and communication skills with the ability to manage diverse stakeholders. 

  • Skilled in planning, preparation, and delivering presentations with proven ability to handle multiple projects and meet deadlines with attention to detail.  

  • Proficiency in healthcare systems and Microsoft Office Suite. 

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences. 

 

Preferred Qualifications 

  • Ma

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Company

Humana

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