Provider Engagement Professional 2

CarePlus Health Plans Inc

Florida, USA
Base: $59,300 - $80,900 py; bonus/equity: eligible...
Hybrid
Develop positive provider relationships
Improve financial and quality performance
Manage health plan/provider relationships
CarePlus Health Plans Inc is seeking a Provider Engagement Professional 2 to establish and enhance relationships with healthcare providers in Florida. The role involves supporting financial and quality performance in provider relations, requiring experience in healthcare or managed care environments

Job Summary

  • Develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance.
  • Represents the scope of health plan/provider relationship across such areas as financial performance, incentive programs, quality and clinical management, and operational improvements.
  • Humana offers a variety of benefits to promote the best health and well-being of our employees and their families, including health benefits effective day 1.

Matching Summary

Match Score: 85

CarePlus Health Plans Inc is seeking a Provider Engagement Professional 2 to establish and enhance relationships with healthcare providers in Florida. The role involves supporting financial and quality performance in provider relations, requiring experience in healthcare or managed care environments.

Salary

Base: $59,300 - $80,900 per year; Bonus/Equity: Eligible for bonus incentive plan; Benefits: Day 1 benefits, 401(k) with match, PTO, holidays, tuition assistance

Skills & Requirements

Must-have

  • Develop positive provider relationships
  • Improve financial and quality performance
  • Manage health plan/provider relationships
  • Excel with pivot tables and V-lookups

Nice-to-have

  • Analyze financial trends
  • Comprehensive Medicare knowledge
  • Independent determination of actions

Key Requirements

  • Bachelor's Degree
  • Reside in specified Florida counties
  • 1-5 years of healthcare/managed care experience
  • Provider Contracting, Network Management or Provider Relations experience
  • Planning, preparation and presenting skills
  • Knowledge of reimbursement and bonus methodologies
  • Adobe file conversion skills
  • Excel proficiency (pivot tables, V-lookups, basic formulas)

Work Rights

Not specified

Tailored Resume

Cover Letter