Humana · 12 hours ago
Provider Relations Professional
DeRidder, LA
Full-time
Hybrid
Entry Level
$59K/yr - $81K/yr
1+ years expHumana is committed to putting health first, and they are seeking a Provider Relations Professional to support the Louisiana Medicaid Physical Health team. In this role, you will conduct provider engagements, support departmental strategies, and contribute to improving provider and consumer experiences.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Conduct in‑person and virtual provider engagements to support education on policies, processes, and available tools, including navigating online resources; monitor relevant reports and document provider interactions following established requirements
Support departmental, segment, and organizational strategies by aligning day‑to‑day activities with defined operating goals and cross‑functional programs
Plan and execute assigned work, including navigating routine ambiguity, while escalating issues and seek guidance
Contribute to programs focused on improving provider and consumer experiences through participation in engagement activities and process awareness. Following established guidelines, procedures, and documentation standards
Qualification
Required
1 year of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience
Utilize Microsoft Word, Excel, Outlook, and PowerPoint at an intermediate to advanced level, as evidenced by creating complex documents, spreadsheets, presentations, and email communications required for role functions
Successfully demonstrated effective planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies
Demonstrated experience conducting face-to-face and virtual meetings with healthcare providers to educate them on organizational policies and processes, foster professional relationships, instruct providers on the use of online tools and resources, monitor relevant reports, and accurately document provider interactions
Demonstrated experience managing multiple projects or assignments concurrently within a professional or academic setting, utilizing structured project tracking or project management tools to monitor progress and ensure completion
Prior experience in establishing and maintaining professional relationships with provider offices, hospitals, and community organizations, demonstrated by successful coordination and participation in conferences, seminars, town halls, and other community-based events
Preferred
Experience working with Medicare/Medicaid or other MCO
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
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
Caleb Gallifant
Chief Operating Officer, CenterWell Home Health
Recent News
2026-01-16
2026-01-16
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