Provider Engagement Principal

Description

Deliver a simplified Dental Provider Experience by driving digital and technology solutions forward in a cross collaborative and influential manner Identify the solutions and structure needed to provide exceptional service to every provider, in every interaction Build Cost Benefit Analysis to demonstrate enterprise value to implementing new digital, AI and technology solutioning forward. Reporting to the VP of Network and Market Development, deliver a simplified Dental Provider Experience by driving digital and technology solutions forward in a cross collaborative and influential manner.

Responsibilities

Remove obstacles for Dental Providers by partnering with Dental Network Service, IT, GBO and our key Retail Medical partners to ensure that our solutions are forward thinking and ahead of industry standard.  

Ability to prioritize initiatives, build a solid business case to capture enterprise value, and influence teams thru implementation such addition of AI, automations, IVR’s, elimination of fax while improving efficiencies, network unit cost and reducing long term administrative costs. Will also work to influence and drive work within key business partners, including: Provider Marketing, SIU, Network Administration, G&A, PPI, Provider Customer Care, Member Services, Provider payment processes, legal, and any other area that impacts the experience of the Dental Provider.

Increase provider satisfaction, resulting in best in class network retention by driving change throughout all departments who influence dental provider ease of service. Influence anywhere a provider interacts with Humana - Collaborate with Dental Network Services, Provider Marketing, and all business partners, to improve processes that increase provider satisfaction Implement ideas/processes resulting from meetings with the Provider Advisory Committee and all improvements that result from those conversations Develop and implement new/updated processes and large-scale processes to improve provider and associate experiences.

Drive increased provider engagement and quickly identify and resolve for systemic issues related to provider escalations Leverage best industry practices and/or practices within Retail Medical and pivot teams to implement within our Dental network teams (ie: Automations, IVR’s, AI, technology etc)  to increase provider engagement and retention Work with appropriate departments such as IT to understand and reduce the number of platforms our dental network uses today.

Optimize the Dental Network, through enhanced collaboration Understand the dental competitive environment and industry trends that impact our ability to compete  Promote Humana values.

Drive Process Improvement Identify opportunities for Process Improvement in the end to end journey of a dental provider, including all their touchpoints with Humana Quarterly Partnership Summits, to review and discuss improvements being made, technology performance, etc.

               

Required Qualifications

• Prior experience in Leading via Influencing / Thru a matrix'd organization
• 5 years Provider Contracting and Network development
• 5 years of management experience
• Prior experience utilizing knowledge of dental network industry and provider experience
• Prior experience utilizing knowledge of provider systems, and improvement processes
• Prior experience utilizing comprehensive knowledge of all Microsoft Office applications
• Meet Humana's Work at Home policy listed in additional information.

Preferred Qualifications

• Prior work experience in the health solutions industry with demonstrated success directing and leading teams
• Proficiency in quality improvement processes, analyzing and interpreting financial trends

Additional Information

• Requires some travel (up to 20%)

Virtual Pre-Screen

As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a Modern Hire interview.  In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes.

Work at Home Connectivity Requirements

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
• Wireless, Wired Cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership.  (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
• Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota.  Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. 

If you have additional questions regarding this role posting, please send them to the Ask A Recruiter by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

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Scheduled Weekly Hours

40