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Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional who is responsible for provider education materials for Humana's Medicaid segment to drive best in class provider experience. This Professional will maintain the provider material repository for new state contracts, create templates to simplify the implementation process for provider education, and maintain up to date templates.

The Senior Provider Education Professional is an independent contributor who must have strong Microsoft Office (Word, Excel, PowerPoint, SharePoint, Teams, etc.) skills to create provider materials and templates, as well as interpersonal skills to work across business segments, and must be highly organized to track and oversee all materials from initial drafts to final approved versions.

Key Responsibilities:

• Track all provider documentations for implementations to ensure timelines are met.

• Draft small to mid-size provider content initiatives for provider material templates including trainings, resource guides, project plans, etc.

• Maintain up to date templates that are market agnostic and can be customized where necessary based off state, market, or operational business changes.

• Collaborate across departments to execute provider templates for implementations to meet state contracted requirements to drive best in class provider experience.

• Meet regularly with business partners across teams to understand their provider template needs to ensure aligned segment strategy and approach.

• Maintain standardized templates and processes for Medicaid provider educational materials, such as, manuals, orientation, and resource guides.

Use your skills to make an impact

Required Qualifications

• Must work hours within the Eastern Standard Time Zone.

• 3+ 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 payer contracting experience.

• 1+ year of Medicaid and health plan operations experience.

• Template design experience with advanced proficiency in Microsoft Office to quickly track, comment, and make corrections on template design changes (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 and coordinating across various departments.

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

• Bachelor's Degree.

• Aprimo experience.

• 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 because he or she is a protected veteran. 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.