Humana · 1 day ago
Provider Engagement Executive - Knoxville/Tri-Cities TN
Tennessee, United States
Full-time
Hybrid
Entry, Mid Level
$86K/yr - $119K/yr
2+ years expHumana is committed to putting health first and is seeking a Provider Engagement Executive. This role focuses on developing relationships with healthcare providers to enhance financial and quality performance, while advising on strategies related to provider performance and operational excellence.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
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
Works on problems of diverse scope and complexity ranging from moderate to substantial
Represents the scope of health plan/provider relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to provider performance, member experience, market growth, provider experience and operational excellence
Advises executives to develop functional strategies (often segment specific) on matters of significance
Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision
Uses independent judgment requiring analysis of variable factors and determining the best course of action
Qualification
Required
2 or more years of Health care or managed care with Provider Relations, Provider Contracting, or Network Management experience
Minimum of 1 year of experience working with provider groups on HEDIS and/or Stars performance improvement
Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance
Experience partnering with senior leadership on strategic initiatives
Established knowledge of reimbursement and bonus methodologies
Proven planning, preparation and presenting skills
Demonstrated ability to manage multiple projects and meet deadlines
Comprehensive knowledge of all Microsoft Office applications
Must be located in Knoxville/Tri-Cities area with the ability to travel as needed within Gulf South Market (LA, MS, AL, TN)
Preferred
Bachelor's Degree
Established provider relationships within the Gulf South Market
Demonstrated project management experience
Comprehensive knowledge of Medicare policies, processes and procedures
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-06
2026-01-04
Fierce Healthcare
2025-12-24
Company data provided by crunchbase