Jobs in the United States

25+ jobs

Save this search

Added just now
AOG Controller
United Airlines
Arlington Heights, IL
AOG Controller provide 24/7 logistical operations representing Supply Chain at the Arlington Heights Network Operations Center to ensure timely processing of critical material and tooling…
Added 1 min ago
Assistant Store Manager
Ross Stores, Inc.
Newport News, VA
…merchandising. Responsible for learning all phases of Store operations. In the absence of the Store Manager, the Assistant Manager is responsible for leading the entire operation of the…
Added 1 min ago
Deli Clerk
Albertsons Companies
KINGS BEACH, CA · Kings Beach, CA
Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 1 min ago
Starbucks Barista
Albertsons Companies
KINGS BEACH, CA · Kings Beach, CA
Customer interaction is a key part of the role; you’ll greet customers, take orders, answer questions, and help make each visit a positive experience. Whether it’s a regular stopping by or…
Added 1 min ago
Deli Clerk
Albertsons Companies
LOS GATOS, CA · Los Gatos, CA
Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 1 min ago
Starbucks Barista
Albertsons Companies
ROCKWALL, TX · Rockwall, TX
Customer interaction is a key part of the role; you’ll greet customers, take orders, answer questions, and help make each visit a positive experience. Whether it’s a regular stopping by or…
Added 1 min ago
Deli Clerk
Albertsons Companies
SANTA ROSA, CA · Santa Rosa, CA
Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 1 min ago
Baker
Albertsons Companies
HIGHLANDS RANCH, CO · Highlands Ranch, CO
…bakery team members to plan daily production needs and keep operations running…
Added 1 min ago
Bakery Clerk
Albertsons Companies
WEST LAKE HILLS, TX · Austin, TX
The Bakery Clerk plays a key role in the day to day bakery operations. This position involves preparing dough, glazing pastries, and assisting with baking tasks from start to finish.…
Added 1 min ago
Bakery Clerk
Albertsons Companies
WINDHAM, NH · Windham, NH
The Bakery Clerk plays a key role in the day to day bakery operations. This position involves preparing dough, glazing pastries, and assisting with baking tasks from start to finish.…
Added 1 min ago
Fresh Cut Produce Clerk
Albertsons Companies
LAS VEGAS, NV · Las Vegas, NV
· Multitasking & Time Management: Capable of juggling multiple tasks efficiently in a fast-paced environment.
Added 1 min ago
Bakery Clerk
Albertsons Companies
LAS VEGAS, NV · Las Vegas, NV
The Bakery Clerk plays a key role in the day to day bakery operations. This position involves preparing dough, glazing pastries, and assisting with baking tasks from start to finish.…
Added 1 min ago
Starbucks Barista
Albertsons Companies
DUNCANVILLE, TX · Duncanville, TX
Customer interaction is a key part of the role; you’ll greet customers, take orders, answer questions, and help make each visit a positive experience. Whether it’s a regular stopping by or…
Added 1 min ago
Assistant Deli Manager
Albertsons Companies
FRANKLIN, MA · Franklin, MA
…performance. As a Deli Department Manager, you will oversee daily deli operations, drive sales, and ensure high standards for food safety, merchandising, and service. This role offers a…
Added 1 min ago
Deli Manager
Albertsons Companies
STRATHAM, NH · Stratham, NH
…performance. As a Deli Department Manager, you will oversee daily deli operations, drive sales, and ensure high standards for food safety, merchandising, and service. This role offers a…
Added 1 min ago
Starbucks Barista
Albertsons Companies
ALBUQUERQUE, NM · Albuquerque, NM
Customer interaction is a key part of the role; you’ll greet customers, take orders, answer questions, and help make each visit a positive experience. Whether it’s a regular stopping by or…
Added 1 min ago
Bakery Clerk
Albertsons Companies
ABERDEEN, WA · Aberdeen, WA
The Bakery Clerk plays a key role in the day to day bakery operations. This position involves preparing dough, glazing pastries, and assisting with baking tasks from start to finish.…
Added 1 min ago
Assistant Drive Up and Go Supervisor
Albertsons Companies
MIDDLEBURY, VT · Middlebury, VT
…excellence to a role where you manage high‑volume fulfillment operations, support your team, and ensure every customer order is accurate, on time, and handled with…
Added 1 min ago
R
Seasonal Sales Associate | West Broadway, New York | Part Time
Reiss
New York, West Broadway, NY
- $17 to $19 USD / hour
- Part-time
As part of our West Broadway team, you’ll be joining our store in New York on a part time basis as our Sales Associate, who is responsible for providing exceptional customer service and…
Added 1 min ago
TR
Part Time Inventory Operations Shopkeeper (Stock Associate) - Brentwood
The RealReal, Inc.
Santa Monica, CA
- $19.51 to $22.29 USD / hour
- Part-time
As an Inventory Operations Shopkeeper (Stock Associate), you will gain exposure to coveted luxury merchandise while executing operational and merchandising processes effectively and…
Added 2 mins ago
Automotive Glass Repair Store Manager
Sun Auto Tire and Service
Tucson, AZ
Max Auto Glass is part of the Sun Auto Network. Sun Auto Tire & Service is a growing family of trusted automotive service and tire brands united by one purpose: helping customers stay…
Added 2 mins ago
SA
Automotive General Service Technician
Sun Auto Tire and Service
LITCHFIELD PARK, AZ
- $15.15 USD / hour
Wilhelm Autotomtive is part of the Sun Auto Network. Sun Auto Tire & Service is a growing family of trusted automotive service and tire brands united by one purpose: helping customers stay…
Added 3 mins ago
SA
Automotive General Service Technician
Sun Auto Tire and Service
LITCHFIELD PARK, AZ
- $15.15 USD / hour
Wilhelm Autotomtive is part of the Sun Auto Network. Sun Auto Tire & Service is a growing family of trusted automotive service and tire brands united by one purpose: helping customers stay…
Added 4 mins ago
ODR Fellow
Harvard University
Cambridge, MA
Under the supervision of the ODR Associate Director and Investigator, the ODR Fellow assists with the overall operations of ODR. The ODR Fellow will work on cases with experienced…
Added 4 mins ago
FF
Part-Time Sales Lead - Famous Footwear
Famous Footwear
CALHOUN, GA
- Part-time
Ace Retail Operations: You’ll know the ins-and-outs of your store like the back of your hand and enjoy putting in the work so it runs like a tightly laced sneaker– from pricing to…

Humana

Provider Relations Representative

Remote, United States

$59,300 - $80,900 per year

Apply About employer

Applications open in a new tab.

Job details

Pay: $59,300 - $80,900 per year
Working hours: 40 hours per week
Posting language: English
Posted: Nov 2, 2026

Original job description

Become a part of our caring community

The Provider Relations Representative is responsible for day-to-day, front-line relationship management for network providers in Humana. This role supports provider onboarding, training, education, and inquiry/issue support and resolution. The individual in this role should have critical thinking/problem solving skills, an understanding of health plan operations, and strong interpersonal skills. This role develops and grows positive, long-term relationships with BH providers.

Serve as primary relationship manager with assigned providers to ensure positive provider experience with Humana’s Dual Fully Integrated and Healthy Horizon plan of Illinois and promote network retention · Meet regularly, both in-person and virtually, with assigned providers to conduct training and education, including, but not limited to, required annual trainings, periodic updates to and/or reviews of Humana policies and procedures, and Humana systems training and updates · Support newly assigned providers with onboarding, including hosting orientation session(s) · Respond to assigned provider inquiries and support prompt issue resolution, including, where necessary, collaboration with appropriate enterprise business teams (ex., claims payment, prior authorizations & referrals) · Work with internal resources and systems (e.g., claims, reimbursement, provider enrollment) to provide the Exceptional Experience in all provider interactions · Create provider trainings based on provider feedback, trends in claims or process changes · Educate provider on location and content of all provider facing materials (Orientation, Provider Manual, Newsletter, Program Updates, Etc.) · Convene regular meetings with providers, including organizing agendas, materials, meeting minutes, other team members (clinical, provider engagement), to discuss key operational, clinical, and quality related topics · Educate on processes including claims submissions, recoupments, reconsiderations, authorizations, referrals, medical record management, Availity, Quality resources, and member resources · Communicate updates on Humana’s policies and procedures and Cardinal Care programmatic updates · Coordinate periodic regional provider townhalls and/or trainings · Attend Network Meetings/Conferences · Ensure compliance with all Virginia managed care contractual requirements for provider relations, such as timeframes for claims dispute resolution, provider complaints, provider inquiry response, etc.

Use your skills to make an impact

Required Qualifications

Candidate must reside within Cook County in Illinois.
2 or more years of health care or managed care experience working with providers (e.g., provider relations, claims education)
Experience with Illinois Medicaid
Experience working with Behavioral Health providers and Community Mental Health Centers.
Experience in provider operations, building strong relationships with provider organizations, financial/contracting arrangements, and/or regulatory requirements
Exceptional relationship management and interpersonal skills
Thorough understanding of managed care contracts, including contract language and reimbursement
Position is field based in Illinois and requires frequent travels to provider and Humana locations

Preferred Qualifications

Understanding of claims systems, adjudication, submission processes, coding, and/or dispute resolution
Understanding of service coordination, prior authorizations, and other health plan processes
Understanding of value-based payment programs

Additional Information This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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. 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.

Apply About employer

Report this job