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

The Senior Provider Education Strategy Advancement Professional will work on a newly formed team responsible for planning and program ownership of the developing provider risk adjustment (RA) education strategy. If you like working with an innovative group committed to supporting and strengthening the performance of RA providers, this could be the role for you.

This role is responsible for moderately complex decision making regarding technical approaches for strategy components as they execute the initiatives of the redesigned RA education strategy. The workstyle is remote but could include up to 10% travel outside your state of residence. The schedule is Monday – Friday; Eastern Standard Time (EST) with some flexibility.

The Senior Provider Education Strategy Advancement Professional brings expertise to support initiatives and analysis of complex business problems and issues using data from internal and external sources. They help identify appropriate subject matter experts, in support of multi-functional education strategy efforts and work closely with provider-facing market associates to ensure the needs of external stakeholders are met. They will support technical aspects of strategy deployment including playbook and training development.

Key responsibilities include the following:

• Test & Learn program design including associated playbooks, process specifications, and Key Performance Indicators (KPIs).
• Provide major education program ownership/support.
• Maintain/Update Market and Provider Support Team Roles & Responsibilities.
• Track and publish Market KPIs that lead to provider mix and activity mix clarity.
• Support and inform Technology Plan, Coordination, and Operations where applicable.
• Maintain close engagements with market leadership with regular attendance at operating meetings.

Use your skills to make an impact
 

Required Qualifications:

• 5 years' experience in provider education strategy, operations, or similar functions.

• Experience within a Medicare Advantage Organization. 

• Demonstrated ability to deliver on KPIs

• Knowledge of Medicare Risk Adjustment and Stars 

• Exceptional communication and interpersonal skills with the ability to quickly build rapport at all levels within an organization.

• Proficiency with Microsoft Office including Word, Excel, PowerPoint, Outlook, and Teams.

Preferred Qualifications:

• Bachelor's degree

• Knowledge of medical coding

• History of working within a healthcare provider organization

Additional Information

Work-At-Home REQUIREMENT: To ensure the ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• ​At a minimum, a download speed of 25 Mbps and an upload speed of 10Mbps is recommended; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Hire Vue Statement

As part of our hiring process for this opportunity, we will be using an interviewing technology called Hire Vue to enhance our hiring and decision-making ability. Hire Vue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected to move forward, you will receive automated outreach from Hire Vue.

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.

 

$84,600 - $116,300 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-person well-being. Associate benef