Humana Market Development Professional 2 - Remote, Illinois in North Chicago, Illinois
The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Market Development Professional 2 serves as the primary resource on regulations for all assigned health plans.
Ensures that assigned health plans are meeting or exceeding corporate Medicare/Medicaid/TRICARE performance benchmarks.
Maintains relationships with regulators within a region.
Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.
Follows established guidelines/procedures.
Bachelor's degree or equivalent work experience.
3 - 5 years of experience working in provider relations or provider contracting setting in a fast-paced insurance or health care industry.
Must live and be able to travel in the state of Illinois (see more on travel in the 'Additional information' section)
Proficiency with MS Office programs including Excel.
Prior experience building and maintaining relationships with provider groups.
Excellent communication skills, both oral and written.
Experience implementing and measuring success on complex health-related initiatives and pilots.
Strategic thinker with ability to work independently.
Strong relationship building skills and analytical skills.
Process-focused, with ability to leverage and enhance existing processes.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
Must have a separate room with a locked door that can be used as a home office, to ensure you have absolute and continuous privacy while you work.
Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.
Knowledge of Humana's internal policies, procedures and systems.
Master's Degree in Business, Public Health or related field.
Experience with CRM.
Medicare / Medicaid / TRICARE experience/background.
Experience with LTSS.
- Travel: 10-15% within Illinois territory. Note: Travel is suspended at this time due to business travel restrictions. Travel restrictions are scheduled to be lifted October 2021.
As part of our hiring process, we will be using an exciting interviewing technology provided by Montage/Modern Hire, 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 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
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