Remote Provider Relations Specialist - Onboarding & Training

Humana; Illinois; Remote; USD 59,000 - 81,000; Full time

Job summary

Humana’s Provider Relations Representative in Illinois manages day-to-day relationships with network providers, supporting onboarding, training, and issue resolution to ensure a positive provider experience and network retention.

The role is field-based in Illinois with frequent travel to Humana locations, requiring residence in Cook County and participation in Humana’s TB screening and driver safety programs.

Qualifications

• Residence within Cook County, Illinois.
• 2+ years of health care or managed care experience working with providers.
• Experience with Illinois Medicaid.
• Experience working with Behavioral Health providers and Community Mental Health Centers.

Responsibilities

• Manage day-to-day front-line relationships with assigned providers.
• Conduct training and education sessions (in-person or virtual).
• Support onboarding of new providers.
• Respond to provider inquiries and resolve issues, including collaboration with enterprise business teams.
• Coordinate provider townhalls and trainings.

Skills

Provider relations

Interpersonal skills

Problem solving

Health plan operations

Tools

Availity

Job description

Humana’s Provider Relations Representative in Illinois manages day-to-day relationships with network providers, supporting onboarding, training, and issue resolution to ensure a positive provider experience and network retention.

The role is field-based in Illinois with frequent travel to Humana locations, requiring residence in Cook County and participation in Humana’s TB screening and driver safety programs.