Jobs in the United States

25+ jobs

Save this search

Added just now
Certified Pharmacy Technician
Ascension
Nashville, TN
Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
Added just now
Safety and Security Dispatcher
Ascension
Anderson, IN
Well-being support: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
Added just now
Registered Nurse Cardiac Stepdown
Ascension
Tulsa, OK
Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
Added just now
RN Endoscopy Manager
Ascension
Evansville, IN
Ensures a high level of associate, patient and physician satisfaction.
Added just now
Property Manager
Ai Signal Research Inc
Huntsville, AL
…Logistics, Operations, Finance, Personnel/Human Resource Management, Program Management, Process Improvement, Safety, Security, and Environmental specialties; or an Associate's Degree and…
Added just now
Patient Transporter
Ascension
Evansville, IN
Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
Added just now
C
Accounts Receivable/Payable Specialist - Part Time
CTI
Columbia, MO
- $22 to $26 USD / hour
- Part-time
Assist with administration of the corporate credit card program.
Added just now
Registered Nurse Cardiac Stepdown Unit
Ascension
Bartlesville, OK
Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
Added just now
Registered Nurse Pediatric Neurosciences
Ascension
Austin, TX
Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
Added just now
DESIGN CONSULTANT
Bassett Furniture
Dulles, VA
The Bassett Brand is brought to life by the people who shape the customers’ experience. Our training programs are designed to help each associate create a meaningful career at Bassett.
Added just now
DESIGN CONSULTANT
Bassett Furniture
Cockeysville, MD
The Bassett Brand is brought to life by the people who shape the customers’ experience. Our training programs are designed to help each associate create a meaningful career at Bassett.
Added just now
GI
Donor Greeter (Warehouse Associate) Full-Time
Goodwill Industries Manasota Inc
Lake Worth Beach, FL
- Full-time
…Education Assistance and Incentives, Comprehensive Wellness Program with…
Added just now
TY
Swim Instructor - Ellicott City (Dancel)
The Y In Central Maryland
Ellicott City, MD
- $16 to $20 USD / hour
Maintain attendance and required program records.
Added just now
TY
Swim Instructor - Towson (Orokawa)
The Y In Central Maryland
Towson, MD
- $16 to $20 USD / hour
Maintain attendance and required program records.
Added just now
TG
Office Assistant (HR Recruiting & Onboarding)
Tagawa Greenhouse Enterprises LLC
Brighton, CO
- $20 to $23 USD / hour
At the end of April, there is a potential for this position to interview and transfer into a Sales Associate position to assist with the InColor program, however work in HR ends regardless…
Added 1 min ago
KF
Flex Team Associate I
Kreher Family Farms
Clarence, NY
- $18 USD / hour
It is the responsibility of the Flex Team Associate I to follow Kreher’s pre-established poultry care and poultry house sanitation procedures and guidelines, under direct supervision, to:
Added 1 min ago
CB
CA UR Case Manager II
CorVel Brand
Folsom, CA
- $32.18 to $48.68 USD / hour
Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
Added 1 min ago
Associate Attorney - Civil Litigation
Heplerbroom Llc
Springfield, IL
…for annual performance-based salary increases, a structured associate bonus program, and a discretionary year-end bonus recognizing contributions such as pro bono service and professional…
Added 1 min ago
DevSecOps Cloud Engineer
Trace3
Colorado Springs, CO
Work closely with vendor technical consultants and program engineering teams to deploy cloud environments for development, test and operations.
Added 1 min ago
Marketing Communications Specialist
Skyward
Stevens Point, WI
Associate or Bachelor’s degree in marketing, communications, or related field (or equivalent experience)
Added 1 min ago
Physical Therapy Assistant
Emerald Care Center Southwest
Oklahoma City, OK
Education: Associate’s degree in Physical Therapy Assisting from an accredited program. • Licensure: Current state licensure or certification as a Physical Therapy Assistant (PTA) in New…
Added 1 min ago
Assistant Professor (Clinical)/ Associate Professor (Clinical)/ Professor (Clinical)- PM&R Brain Injury Physician DOQ
University of Utah
Salt Lake City, UT
…Brain Injury team and assist in the growth and expansion of the program, including the management of a fellowship training program and pursuit of research opportunities within our…
Added 1 min ago
Safety Systems Coordinator
STA Family of Companies
Wall Township, NJ
High school diploma or equivalent required; Associate's degree preferred.
Added 2 mins ago
PO
Associate Management Auditor
Peace Officer Standards and Training
CA
- $6,646 to $8,740 USD / month
The Commission on Peace Officer Standards and Training (POST) is recruiting to fill an Associate Management Auditor position in the Compliance, Audit, and Accountability Bureau.
Added 2 mins ago
Structural Technician
Stantec
Miami, FL
Associate degree or technical certification in Drafting, Civil Engineering Technology, Structural Engineering Technology, or a related field preferred; equivalent relevant experience…

Closed listing

Humana

Provider Relations Representative

Remote, United States

$59,300 - $80,900 per year

This opening has closed.

The original listing is kept below for reference.

Find open jobs More jobs with this employer

About employer

Job details

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

Similar jobs hiring now

Search current openings

Original job description

Archived listing. The details below describe a past opening.

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.

About employer

Report this job