CenterWell Senior Primary Care
Senior Provider Engagement Professional
CenterWell Senior Primary Care, Phoenix, Arizona, United States
Senior Provider Engagement Professional
CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well‑being. The Senior Provider Engagement Professional develops and grows positive, long‑term relationships with physicians, providers and healthcare systems to improve financial and quality performance within the contracted working relationship with the health plan.
Base Pay Range $71,100 per year – $97,800 per year
Job Functions
Travel consisting of monthly provider visits; quarterly travel to Las Vegas for team meetings.
Distribute the Census Management Report (Admits / Discharges) to each practice.
Monitor issues and action items in MSO Connect (membership, payment, contract load).
Email inbox management.
Follow‑up on existing action items and outreach management.
Research and respond to MSO member grievance from providers.
Facilitate resolution of provider escalations or concerns, coordinating with internal departments as needed.
Evaluate datahub for quality management, cost and utilization, develop interventions, evaluate provider workflows.
Attend team meetings, external meetings and shared‑service partner collaboration meetings.
Required Qualifications
Bachelor’s degree.
Five or more years of health care or managed care with provider contracting, network management or provider relations experience.
Travel required to provider offices in the Peoria to Phoenix area; majority of time working from home.
Independent worker; self‑starter who can work under minimal supervision.
Prior healthcare consulting experience; strong knowledge of engagement professional in the managed care space (Medicaid/Medicare).
Proven planning, preparation and presenting skills; established knowledge of reimbursement and bonus methodologies.
Demonstrated ability to manage multiple projects and meet deadlines.
Preferred Qualifications
Master’s degree.
Preference for candidates who live in Arizona.
Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance.
Comprehensive knowledge of Medicare policies, processes and procedures.
Benefits
Health benefits effective day 1.
Paid time off, holidays, volunteer time and jury duty pay.
Recognition pay.
401(k) retirement savings plan with employer match.
Tuition assistance.
Scholarships for eligible dependents.
Parental and caregiver leave.
Employee charity matching program.
Network Resource Groups (NRGs).
Career development opportunities.
Travel: Remote position; occasional travel to Humana offices for training or meetings may be required.
Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Humana takes affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ individuals with disability or protected veteran status and bases all employment decisions only on valid job requirements. This policy applies to all employment actions including recruitment, hiring, promotion, transfer, demotion, layoff, recall, termination, pay and training decisions.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Information Technology
Industries Hospitals and Health Care
Use Your Skills To Make An Impact Centers on health first and invites engaged professionals to contribute to improved patient outcomes.
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Base Pay Range $71,100 per year – $97,800 per year
Job Functions
Travel consisting of monthly provider visits; quarterly travel to Las Vegas for team meetings.
Distribute the Census Management Report (Admits / Discharges) to each practice.
Monitor issues and action items in MSO Connect (membership, payment, contract load).
Email inbox management.
Follow‑up on existing action items and outreach management.
Research and respond to MSO member grievance from providers.
Facilitate resolution of provider escalations or concerns, coordinating with internal departments as needed.
Evaluate datahub for quality management, cost and utilization, develop interventions, evaluate provider workflows.
Attend team meetings, external meetings and shared‑service partner collaboration meetings.
Required Qualifications
Bachelor’s degree.
Five or more years of health care or managed care with provider contracting, network management or provider relations experience.
Travel required to provider offices in the Peoria to Phoenix area; majority of time working from home.
Independent worker; self‑starter who can work under minimal supervision.
Prior healthcare consulting experience; strong knowledge of engagement professional in the managed care space (Medicaid/Medicare).
Proven planning, preparation and presenting skills; established knowledge of reimbursement and bonus methodologies.
Demonstrated ability to manage multiple projects and meet deadlines.
Preferred Qualifications
Master’s degree.
Preference for candidates who live in Arizona.
Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance.
Comprehensive knowledge of Medicare policies, processes and procedures.
Benefits
Health benefits effective day 1.
Paid time off, holidays, volunteer time and jury duty pay.
Recognition pay.
401(k) retirement savings plan with employer match.
Tuition assistance.
Scholarships for eligible dependents.
Parental and caregiver leave.
Employee charity matching program.
Network Resource Groups (NRGs).
Career development opportunities.
Travel: Remote position; occasional travel to Humana offices for training or meetings may be required.
Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Humana takes affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ individuals with disability or protected veteran status and bases all employment decisions only on valid job requirements. This policy applies to all employment actions including recruitment, hiring, promotion, transfer, demotion, layoff, recall, termination, pay and training decisions.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Information Technology
Industries Hospitals and Health Care
Use Your Skills To Make An Impact Centers on health first and invites engaged professionals to contribute to improved patient outcomes.
#J-18808-Ljbffr