Chinwe Nichols

MBA

Business Administration

HUMANA

Associate Director Medicaid Provider Services

- Led a dynamic and agile team responsible for developing and enhancing Humana Medicaid's standard Provider Support strategy and implementing standard and tailored Provider Support Model solutions in new Medicaid markets. Conducted oversight of the strategic development, delivery, and ongoing refinement of Humana Medicaid Provider Support Model to drive optimal provider - Provider Relations, Provider Engagement, Claims Education, Network Optimization, and Practice Transformation. Drove the development of operational processes, trainings, and KPIs to execute on the Medicaid Provider Relationship Management model, and other strategic initiatives. Developed and implemented various standards, resources, tools, and best practices sharing across the organization for primary care, behavioral health, LTSS, FQHCs, and RHCs. Accountable for the team's effective and timely - Key Achievement - Successfully revised job descriptions within the Provider Support Model to optimize recruitment efforts within the Medicaid Markets