Provider Strategy Lead

🔍 What we're looking for: We are seeking a Provider Strategy Lead to support Humata Health’s national payer innovation initiative focused on transforming prior authorization through AI. This role will lead provider engagement and strategy — ensuring participating providers are aligned, informed, and supported as AI-enabled workflows are implemented to improve efficiency and patient access.

The ideal candidate combines deep knowledge of healthcare delivery systems, strong relationship management skills, and strategic insight into how providers and payers can collaborate to modernize utilization management.

📍Location: Remote, US or Hybrid - Orlando, Florida, US

✅ Responsibilities

• Lead the provider engagement and strategy workstream within Humata Health’s customer base.

• Develop and execute strategies to align provider operations and workflows with prior authorization transformation goals.

• Serve as the primary liaison between Humata Health and provider organizations, ensuring clarity of objectives, timelines, and outcomes.

• Collaborate with providers to implement workflow improvements that support AI-enabled prior authorization and medical policy alignment.

• Gather and synthesize provider feedback to inform ongoing technology and process enhancements.

• Partner with internal teams (clinical, product, engineering, and project management) to integrate provider insights into solution design.

• Track and report on provider engagement and utilization metrics, adoption milestones, and performance outcomes.

• Support communication, education, and change management efforts for provider partners.

• Represent provider perspectives in cross-functional planning and strategic discussions.

• Ensure all provider engagement activities align with compliance and data privacy standards.

🛠 Role Requirements

• 8+ years of experience in healthcare strategy, provider relations, or health plan network management.

• Strong understanding of provider operations, clinical workflows, and revenue cycle processes.

• Experience collaborating with national or regional payers on utilization management or care coordination initiatives.

• Proven ability to manage complex, multi-stakeholder projects involving providers, payers, and technical teams.

• Exceptional communication and relationship-building skills, with experience engaging provider executives and clinical leaders.

• Knowledge of prior authorization, utilization management, or care management workflows.

• Strong analytical and problem-solving skills with a focus on data-driven decision-making.

• Ability to manage multiple priorities in a fast-paced, innovative environment.

⭐Preferred Experience & Skills:

• Experience implementing or scaling AI or digital health solutions in provider settings.

• Background in value-based care models or payer-provider innovation programs using technology.

• Familiarity with Lean or process improvement methodologies.

• Understanding of payer-provider interoperability and data exchange standards (FHIR, APIs, etc.).

• Knowledge of Medicare workflows, processes, and requirements, particularly as they relate to prior authorization and utilization review.

• Experience working at a health plan in provider engagement, contracting, or network management.

• Advanced degree (e.g., MPH, MHA, MBA, or MSN) preferred.

🚀 Why Join Humata Health?

• Impactful Work: Contribute to innovative solutions that improve healthcare efficiency and patient outcomes

• Remote Flexibility: Enjoy working remotely while being part of a collaborative team, with access to our new office in Winter Park, FL

• Competitive Compensation: Enjoy competitive base compensation, equity through our Employee Stock Option Plan, and bonus-eligible roles

• Comprehensive Benefits: Full benefits package including unlimited PTO and 401k program with employer match

• Growth Opportunities: Advance your career in a fast-paced, high-impact environment with ample professional development

• Inclusive Culture: Join a diverse workplace where your ideas and contributions are valued

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Pay Transparency

Humata Health will provide pay transparency information upon application to those in qualifying jurisdictions.

Our salary ranges are based on competitive pay for our company’s size and industry. They are one part of the total compensation package that may also include equity, variable compensation, and benefits.  Individual pay decisions are ultimately based on several factors, including qualifications, experience level, skillset, geography, and balancing internal equity.

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Humata Health is proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, age, sex, marital status, ancestry, neurotype, physical or mental disability, veteran status, gender identity, sexual orientation or any other category protected by law.

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Join us in our mission to transform healthcare while building a life that works in harmony both in and outside the office.