Provider Relations Partner — Onboarding & Training

Humana; Oregon; Hybrid; USD 59,000 - 81,000; Full time

Job summary

Humana is seeking a Provider Relations Representative to manage day-to-day provider relationships, onboarding and training for Illinois-based networks. The role emphasizes strong communication, problem solving, and collaboration with internal teams to ensure a high-quality provider experience.

The position is remote, field-based in Illinois with travel to Humana offices and provider sites as needed. Candidates should have healthcare/provider relations experience and familiarity with Illinois

Qualifications

• Residence in Cook County, Illinois.
• 2+ years of health care or managed care experience with providers.
• Experience with Illinois Medicaid.
• Experience with Behavioral Health providers and Community Mental Health Centers.
• Experience in provider operations, contracts and reimbursement.
• Exceptional relationship management and interpersonal skills.
• Understanding of managed care contracts and reimbursement.
• Field-based role in Illinois with travel requirements.

Responsibilities

• Serve as primary relationship manager with assigned providers to ensure positive provider experience.
• Conduct training and education sessions for providers (in-person and virtual).
• Support onboarding of newly assigned providers, including orientation sessions.
• Respond to provider inquiries and resolve issues, collaborating with enterprise teams as needed.
• Collaborate with internal resources (claims, reimbursement, provider enrollment) to ensure exceptional provider interactions.
• Create provider trainings based on feedback and process changes.
• Educate providers on location and content of provider-facing materials.
• Coordinate regular meetings with providers to discuss operational, clinical and quality topics.
• Educate on processes including claims submissions, recoupments, reconsiderations, authorizations, referrals, medical records, Availity and related resources.
• Communicate updates to Humana policies and programmatic changes.
• Organize regional provider townhalls and trainings.
• Attend Network Meetings/Conferences.
• Ensure compliance with applicable managed care contractual requirements.

Skills

Relationship management

Interpersonal skills

Training & education

Critical thinking

Onboarding

Communication

Client engagement

Tools

Availity

Job description

Humana is seeking a Provider Relations Representative to manage day-to-day provider relationships, onboarding and training for Illinois-based networks. The role emphasizes strong communication, problem solving, and collaboration with internal teams to ensure a high-quality provider experience.

The position is remote, field-based in Illinois with travel to Humana offices and provider sites as needed. Candidates should have healthcare/provider relations experience and familiarity with Illinois