Senior Director, Provider Engagement & Quality (IL) - Remote

004 Humana Insurance Company; Illinois; Hybrid; USD 115,000 - 158,000; Full time

Benefits offered by this job

Bonus incentive plan

Comprehensive benefits

Job summary

Humana, Inc. in Illinois seeks an Associate Director of Provider Engagement to lead a team that builds positive, long-term relationships with contracted providers and drives high-quality, high-value care for Humana members.

The role requires expertise in value-based contracting, performance improvement, and quality initiatives (HEDIS). You will set policy, promote associate development, and monitor performance against KPIs.

Qualifications

• Must reside in Illinois and have 6+ years in managed care operations.
• Experience with value-based payment and quality improvement.
• Strong understanding of Medicaid policies and contracts.

Responsibilities

• Establish policies and operating procedures for provider engagement team.
• Guide strategy to improve adult and child quality measures and value-based payments.
• Develop provider outreach campaigns on quality metrics and value-based models.
• Monitor provider feedback and team performance against KPIs.

Skills

Leadership

Strategic thinking

Critical thinking

Problem solving

Communication

Travel flexibility

Education

Bachelor's degree

Job description

Humana, Inc. in Illinois seeks an Associate Director of Provider Engagement to lead a team that builds positive, long-term relationships with contracted providers and drives high-quality, high-value care for Humana members.

The role requires expertise in value-based contracting, performance improvement, and quality initiatives (HEDIS). You will set policy, promote associate development, and monitor performance against KPIs.