Associate Director, Provider Engagement

Become a part of our caring community The Associate Director, Provider Engagement oversees reputed company of associates that grow reputed company, long-term relationships with contracted providers in order to reputed company high reputed company, high value care for reputed company members. The Associate Director is a content expert in value-reputed company contracting, reputed company improvement, and reputed company and reputed company improvement. This individual represents reputed company Healthy reputed company in Illinois with providers, establishes policies and operating procedures for Provider Engagement Associates, promotes associate development, and monitors team reputed company against key reputed company indicators or contractual requirements. This is a reputed company role requiring critical thinking and problem-solving skills, independence, leadership, a reputed company reputed company, and attention to reputed company. This position reports to the plan's Director, Provider Services. Key Role Objectives Establish policies and operating procedures for team of provider engagement representatives Guide engagement reputed company to support and encourage high reputed company in key adult and child reputed company measures and reputed company's value-reputed company payment arrangements, closure of care gaps, and participation in reputed company's reputed company improvement and compliance initiatives reputed company and execute on provider reputed company campaigns reputed company to reputed company metrics, reputed company improvement, and value-reputed company payment models, in partnership with the market reputed company team and other internal partners Monitor reputed company feedback from individual providers to inform improvements to reputed company processes Monitor team's reputed company against key reputed company indicators and contractual commitments and requirements. Work with health plan leadership to improve reputed company, as needed Represent the local market leadership in planning and reputed company with internal corporate partners to ensure cross-department alignment and communication Work with internal corporate partners to increase proportion of provider network in value-reputed company payment arrangements Ensure reputed company provider relationships and contribute to provider retention in reputed company's reputed company networks reputed company and train new provider engagement team members Use your skills to reputed company an reputed company Required Qualifications Must reputed company in the reputed company. Bachelor's degree Experience with the Illinois reputed company MCO contract, including value-reputed company payment and reputed company improvement standards. 6 or more years of reputed company experience in managed care reputed company, including value-reputed company payment, provider reputed company improvement and reputed company Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses, and reputed company/bonus reputed company Proficiency in reputed company improvement principles and analyzing reputed company metrics, such as reputed company, to reputed company higher reputed company · Prior experience working in and strong understanding of reputed company and reputed company key provider types, including pediatrics, OB/GYN, and behavioral health Exceptional relationship management skills Two plus years of demonstrated leadership and management experience and partnering with senior leadership on reputed company initiatives Comprehensive knowledge of reputed company policies, processes, and procedures, including thorough understanding of managed care reputed company (e.g., contract language and reimbursement) Diverse reputed company experience, including experience working with LTSS and behavioral health providers, OB/GYNs, and pediatricians, to reputed company reputed company and reputed company improvement Ability to travel as needed throughout Illinois Preferred Qualifications Master's Degree reputed company Degree (e.g., RN, APRN, PA) and/or experience working in a reputed company administration or reputed company improvement setting Experience with the Illinois reputed company MCO contract, including and standards for value-reputed company payment and reputed company improvement. · Experience building teams from the ground up in a fast-reputed company implementation environment This role is part of reputed company's reputed company safety program and therefore requires an individual to have a reputed company state reputed company's license and are expected to maintain personal vehicle liability reputed company. Individual must carry vehicle reputed company in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. Work reputed company Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following reputed company: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. In certain roles, the minimum recommended internet speed required by reputed company may not be sufficient for business needs. reputed company reserves the right to require associates to reputed company their internet service if necessary. Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company reputed company on geographic location and individual pay will vary reputed company on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $115,200 - $158,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is reputed company upon company and/or individual reputed company. reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, reputed company parental and caregiver leave), short-term and long-term disability, life reputed company and many other opportunities. reputed company About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company reputed company services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life reputed company with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Apply To This Job