Director, Provider Engagement jobs in United States
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Humana · 1 day ago

Director, Provider Engagement

positionMichigan, United States
timeFull-time
remoteHybrid
seniorityMid, Senior Level
money$139K/yr - $191K/yr
date5+ years exp

Humana is committed to putting health first and is seeking a Director, Provider Engagement to develop and grow relationships with healthcare providers. The role focuses on improving financial and quality performance through effective management of health plan/provider relationships.

Health CareHealth InsuranceInsuranceVenture Capital
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H1B Sponsor Likelynote

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
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
Makes decisions related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes
Develops/implements strategic plans, drives goals and objectives, and improves performance

Qualification

Healthcare operationsHEDIS/Stars experienceProvider network managementQuality improvement processesData analysisMicrosoft OfficeProvider contractingRelationship buildingEffective communicationTeam leadership

Required

5+ years of experience in healthcare operations, finance, medical economics and/or provider network management
3+ years of experience HEDIS/Stars experience, with proficiency in quality improvement processes, analyzing and interpreting trends
Demonstrated success directing and leading teams
Strong relationship building skills
Demonstrated ability to articulate ideas effectively in both written and oral forms
Comprehensive knowledge of all Microsoft Office applications
Ability to travel
Bachelor's degree
Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred

Master's Degree
Provider Contracting experience

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

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Humana is a health insurance provider for individuals, families, and businesses.
dateFounded in 1964
location
Louisville, Kentucky, USA
people-size10001+ employees
web-link
http://www.humana.com

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 Company
Total Funding
$13.07B
2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B

Leadership Team

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Jim Rechtin
CEO and President
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Colin Drylie
Senior Vice President, Experience Transformation
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Recent News

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2026-01-07
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2026-01-06
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2026-01-04
Company data provided by crunchbase