Become a part of our caring community and help us put health first
The Provider Engagement Professional develops and grows positive, long‑term relationships with physicians, providers, and healthcare systems to support and improve financial and quality performance within the contracted relationship with the health plan. The role’s assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Provider Engagement Professional represents the scope of the health plan/provider relationship across areas such as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements, and other areas related to provider performance, member experience, market growth, provider experience, and operational excellence. The role understands departmental, segment, and organizational strategy and operating objectives, including their linkages to related areas. It makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction while receiving guidance where needed. Work follows established guidelines and procedures.
Seeking Gulf Coast candidates
Preferred located in Lee, Collier, Charlotte, Sarasota, or Manatee counties.
Required Qualifications
At least three years of experience in healthcare or managed care with provider contracting, network management, or provider relations.
Proven planning, preparation, and presentation skills, with established knowledge of reimbursement and bonus methodologies.
Demonstrated ability to manage multiple projects and meet deadlines.
Passion for contributing to an organization focused on continuously improving consumer experiences.
Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses, and quality/bonus performance.
Preferred Qualifications
Bachelor’s degree.
Comprehensive knowledge of Medicare policies, processes, and procedures.
Value‑based care knowledge.
Additional Information
Remote role.
50% local travel between clinics; mileage reimbursement will be issued.
Driving Statement This role is part of Humana's driver safety program and requires an individual to have a valid state driver’s license, carry insurance in accordance with state minimum required limits, or $25,000/$25,000/10,000 whichever is higher.
Work at Home Statement
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable, or DSL connection is suggested.
Satellite, cellular, and microwave connection can be used only if approved by leadership.
Employees who live and work from home in California, Illinois, Montana, or South Dakota will receive a bi‑weekly payment for internet expense.
Humana will provide home or hybrid home/office employees with telephone equipment appropriate to meet business requirements.
Work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information.
Travel While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.
Scheduled Weekly Hours 40
Pay Range The compensation range below reflects a good faith estimate of starting base pay for full‑time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location, and individual pay will vary based on demonstrated job‑related skills, knowledge, experience, education, certifications, etc. $59,300 - $80,900 per year. This job is eligible for a bonus incentive plan based on company and/or individual performance.
Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offer competitive benefits that support whole‑person well‑being. Associate benefits encourage personal wellness and smart healthcare decisions for you and your family while recognizing life extends outside of work. Benefits include medical, dental, vision, 401(k) retirement savings, paid time off, holidays, volunteer time, parental and caregiver leave, short‑term and long‑term disability, life insurance, and many other opportunities.
About Us CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment, and more. The care model focuses on personalized experiences, listening, learning, and addressing factors that impact patient well‑being. Integrated care teams—physicians, nurses, behavioral health specialists, and more—spend up to 50 % more time with patients, offering compassionate, personalized care that yields better health outcomes. The model goes beyond physical health by addressing additional factors that affect well‑being.
CenterWell, a Humana company, creates experiences that center patients. As the nation’s largest provider of senior‑focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell focuses on whole‑person health by addressing physical, emotional, and social wellness of patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry‑leading benefits, and growth opportunities. We employ more than 30,000 clinicians committed to putting health first for our teammates, patients, communities, and company. Flexible scheduling, clinical certifications, leadership development, and career coaching enable employees to invest in personal and professional well‑being from day one.
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 also takes affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and advance individuals with disability or protected veteran status, basing all decisions on valid job requirements. This policy applies to all employment actions, including recruitment, hiring, promotion, transfer, demotion, layoff, recall, termination, pay, and training.
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The Provider Engagement Professional represents the scope of the health plan/provider relationship across areas such as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements, and other areas related to provider performance, member experience, market growth, provider experience, and operational excellence. The role understands departmental, segment, and organizational strategy and operating objectives, including their linkages to related areas. It makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction while receiving guidance where needed. Work follows established guidelines and procedures.
Seeking Gulf Coast candidates
Preferred located in Lee, Collier, Charlotte, Sarasota, or Manatee counties.
Required Qualifications
At least three years of experience in healthcare or managed care with provider contracting, network management, or provider relations.
Proven planning, preparation, and presentation skills, with established knowledge of reimbursement and bonus methodologies.
Demonstrated ability to manage multiple projects and meet deadlines.
Passion for contributing to an organization focused on continuously improving consumer experiences.
Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses, and quality/bonus performance.
Preferred Qualifications
Bachelor’s degree.
Comprehensive knowledge of Medicare policies, processes, and procedures.
Value‑based care knowledge.
Additional Information
Remote role.
50% local travel between clinics; mileage reimbursement will be issued.
Driving Statement This role is part of Humana's driver safety program and requires an individual to have a valid state driver’s license, carry insurance in accordance with state minimum required limits, or $25,000/$25,000/10,000 whichever is higher.
Work at Home Statement
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable, or DSL connection is suggested.
Satellite, cellular, and microwave connection can be used only if approved by leadership.
Employees who live and work from home in California, Illinois, Montana, or South Dakota will receive a bi‑weekly payment for internet expense.
Humana will provide home or hybrid home/office employees with telephone equipment appropriate to meet business requirements.
Work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information.
Travel While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.
Scheduled Weekly Hours 40
Pay Range The compensation range below reflects a good faith estimate of starting base pay for full‑time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location, and individual pay will vary based on demonstrated job‑related skills, knowledge, experience, education, certifications, etc. $59,300 - $80,900 per year. This job is eligible for a bonus incentive plan based on company and/or individual performance.
Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offer competitive benefits that support whole‑person well‑being. Associate benefits encourage personal wellness and smart healthcare decisions for you and your family while recognizing life extends outside of work. Benefits include medical, dental, vision, 401(k) retirement savings, paid time off, holidays, volunteer time, parental and caregiver leave, short‑term and long‑term disability, life insurance, and many other opportunities.
About Us CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment, and more. The care model focuses on personalized experiences, listening, learning, and addressing factors that impact patient well‑being. Integrated care teams—physicians, nurses, behavioral health specialists, and more—spend up to 50 % more time with patients, offering compassionate, personalized care that yields better health outcomes. The model goes beyond physical health by addressing additional factors that affect well‑being.
CenterWell, a Humana company, creates experiences that center patients. As the nation’s largest provider of senior‑focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell focuses on whole‑person health by addressing physical, emotional, and social wellness of patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry‑leading benefits, and growth opportunities. We employ more than 30,000 clinicians committed to putting health first for our teammates, patients, communities, and company. Flexible scheduling, clinical certifications, leadership development, and career coaching enable employees to invest in personal and professional well‑being from day one.
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 also takes affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and advance individuals with disability or protected veteran status, basing all decisions on valid job requirements. This policy applies to all employment actions, including recruitment, hiring, promotion, transfer, demotion, layoff, recall, termination, pay, and training.
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