Senior Provider Education Professional (Medicaid)

Become a part of our caring community and help us put health first
 

Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional for active markets who will serve as a key support resource to the Medicaid Provider Education Leads. This role is responsible for assisting in the development, updating, and annual review of provider education materials to ensure a best-in-class provider experience for Humana’s Medicaid segment. In this supporting capacity, the position aids in analyzing state contract language, updating content, and facilitating the annual review process for provider training materials, provider manuals, orientations, resource guides, and annual compliance trainings for new and existing state contracts.
The professional collaborates closely with Leads and various business segments to gather input, tailor materials to meet state-specific contract requirements, and ensure consistency and compliance with internal standards. Following content creation, this role supports the approval process by preparing materials for review by branding, proofreading, legal, compliance, and final design teams.
Additional responsibilities include managing and tracking provider documents.

The Senior Medicaid Provider Education Professional must demonstrate strong content creation, project management, and organizational skills, as well as effective collaboration across business units.

Key Role Objectives:

• Assist in drafting small to mid-size provider content initiatives from new learning technology for training providers in active Medicaid markets.

• Assist in the creation and maintenance of on demand provider materials to allow for self-service learnings across annual provider required trainings.

• Support cross-departmental collaboration to update annual provider educational resources in compliance with state requirements, including template maintenance, communications, revisions, proofreading, and quality assurance.

• Regular meetings with project teams to understand their provider training and education needs to ensure aligned segment strategy and approach.

• Support provider implementation education team members on the creation of new materials and annual reviews of documents including business owner content reviews and tracking documents through the internal review process.

Use your skills to make an impact
 

Required Qualifications

• Bachelor’s Degree
• 3+ years drafting provider content creation for resources, educational material, or training
• Understanding of learning design principles and ideally proven application of those principles to create easy-to-read and captivating provider training and educational materials
• Template design experience with proficiency in Microsoft Office (Word, Excel, PowerPoint, SharePoint, Teams)
• 2+ years project management experience with mid-size projects
• 1+ year experience working with a learning management system and / or software
• 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
• Excellent written and oral communication, as well as interpersonal skills.
• Flexible, dynamic personality who works well in a team environment

Preferred Qualifications

• Experience with Medicaid policies and/or Medicaid health plan operations, such as provider relations, claims submission and payment, utilization management processes, dispute resolution
• Healthcare and/or managed care experience

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..... 

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. 

• 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.

• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. 

Interview Format 

As part of our hiring process, we will be using interviewing technology provided by HireVue, 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.

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.

 

$78,400 - $107,800 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 01-22-2026

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 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.