Senior Provider Education Professional (Medicaid) - Humana
San Juan, PR
About the Job
Become a part of our caring community and help us put health first
Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best in class provider experience for Humana's Medicaid segment. This Professional will update content and complete an annual review of provider training materials for new state contracts, as well as lead in the creation of new materials for internal processes and markets (as needed) to support the Medicaid Provider Education team through collaboration across existing and new Medicaid markets.
The Senior Medicaid Provider Education Professional will be an independent contributor in a role that demands strong content creation skills to create provider materials, has interpersonal skills to work across business segments, and must be highly organized.
Key Role Objectives:
+ Drafting small to mid-size provider content initiatives from new learning technology for training providers in active Medicaid markets.
+ Create and maintain templates to provider consistency across provider educational resource guides.
+ Collaborate across departments to update annual provider educational resources to meet state contracted requirements to drive best in class provider experience.
+ Regular meetings with project teams to understand their provider training and education needs to ensure aligned segment strategy and approach.
+ Support provider implementation education team members on annual reviews of documents including peer reviewing documents and tracking documents through the internal review process.
Use your skills to make an impact
Required Qualifications
+ Must work hours within the Eastern Standard Time Zone.
+ Bachelor's degree.
+ 5+ years of experience drafting provider content creation for resources, educational material, or trainings.
+ 2+ years of project management experience with mid-size projects.
+ 1+ years of experience working with managed healthcare contracts, including an understanding of provider contract language.
+ Understanding of learning design principles with proven application of those principles to create easy-to-read and captivating provider training and educational materials.
+ Template design experience with proficiency in Microsoft Office (Word, PowerPoint, SharePoint, Teams).
+ Excellent written and oral communication, as well as interpersonal skills.
+ Exceptional time management and ability to manage multiple priorities in a fast-paced environment.
+ Experience operating in a matrixed environment coordinating across various departments, and a flexible, dynamic personality who works well in a team environment.
Work at Home Requirements
+ 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.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Preferred Qualifications
+ Master's degree.
+ PMP
+ Experience with Medicaid policies and/or Medicaid health plan operations, such as provider relations, claims submission and payment, utilization management processes, behavioral health processes, and dispute resolution.
Additional Information
+ Travel : Up to 5%, possibly out of your home state.
+ Workstyle: Remote, must work hours within the eastern time zone.
+ Core Workdays & Hours: Typically, 8-5 pm Monday - Friday; Eastern Standard Time (EST).
+ Benefits: Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more.....
Interview Format
As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
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.$76,800 - $105,800 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all 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 all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best in class provider experience for Humana's Medicaid segment. This Professional will update content and complete an annual review of provider training materials for new state contracts, as well as lead in the creation of new materials for internal processes and markets (as needed) to support the Medicaid Provider Education team through collaboration across existing and new Medicaid markets.
The Senior Medicaid Provider Education Professional will be an independent contributor in a role that demands strong content creation skills to create provider materials, has interpersonal skills to work across business segments, and must be highly organized.
Key Role Objectives:
+ Drafting small to mid-size provider content initiatives from new learning technology for training providers in active Medicaid markets.
+ Create and maintain templates to provider consistency across provider educational resource guides.
+ Collaborate across departments to update annual provider educational resources to meet state contracted requirements to drive best in class provider experience.
+ Regular meetings with project teams to understand their provider training and education needs to ensure aligned segment strategy and approach.
+ Support provider implementation education team members on annual reviews of documents including peer reviewing documents and tracking documents through the internal review process.
Use your skills to make an impact
Required Qualifications
+ Must work hours within the Eastern Standard Time Zone.
+ Bachelor's degree.
+ 5+ years of experience drafting provider content creation for resources, educational material, or trainings.
+ 2+ years of project management experience with mid-size projects.
+ 1+ years of experience working with managed healthcare contracts, including an understanding of provider contract language.
+ Understanding of learning design principles with proven application of those principles to create easy-to-read and captivating provider training and educational materials.
+ Template design experience with proficiency in Microsoft Office (Word, PowerPoint, SharePoint, Teams).
+ Excellent written and oral communication, as well as interpersonal skills.
+ Exceptional time management and ability to manage multiple priorities in a fast-paced environment.
+ Experience operating in a matrixed environment coordinating across various departments, and a flexible, dynamic personality who works well in a team environment.
Work at Home Requirements
+ 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.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Preferred Qualifications
+ Master's degree.
+ PMP
+ Experience with Medicaid policies and/or Medicaid health plan operations, such as provider relations, claims submission and payment, utilization management processes, behavioral health processes, and dispute resolution.
Additional Information
+ Travel : Up to 5%, possibly out of your home state.
+ Workstyle: Remote, must work hours within the eastern time zone.
+ Core Workdays & Hours: Typically, 8-5 pm Monday - Friday; Eastern Standard Time (EST).
+ Benefits: Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more.....
Interview Format
As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
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.$76,800 - $105,800 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all 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 all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana