Provider Engagement Professional 2
About the role
Become a part of our caring community. The Provider Engagement Professional 2 develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Provider Engagement Professional 2 is responsible for day-to-day front line relationship management for network providers in Humana’s Healthy Horizons in Oklahoma’s Medicaid Plan, including provider onboarding, training, education, responding to provider inquiries, and resolving issues or complaints. This role will support physical and behavioral health providers in their designated region and must be based in Oklahoma. The role will require critical thinking/problem solving skills, understanding of health plan operations, and strong interpersonal skills.
Responsibilities
- Serve as primary relationship manager with physical and behavioral health providers to ensure positive provider experience with Humana Healthy Horizons and promote network retention
- Meet regularly, both in person and virtually, with assigned providers to conduct trainings and education, including required annual trainings, ensure understanding of Humana policies and procedures, explain Humana systems, etc.
- Support new assigned providers with onboarding, including orientation session(s)
- Respond to assigned provider questions or inqu