Provider Contracting Executive
$94.9k - $130.5kHumana
Become a part of our caring community The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to substantial. The Provider Contracting Executive communicates contract terms, payment structures, and reimbursement rates to providers within the Gulf South Region. Analyzes financial impact of contracts and terms. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action. Use your skills to make an impact Required Qualifications 5+ years of provider contracting skills, including contract negotiation, preparation and implementation, financial analysis and rate proposal development 2 or more years of project leadership experience Experience presenting to executive level leadership Preferred Qualifications Bachelor's degree Hospital contracting experience Experience with Value Based Contracting Live within the region (Louisiana, Mississippi, Tennessee, Alabama) Additional Information This role is "remote/work at home and can be based anywhere in the United States, however, preference will be given to candidates that are located within the region (Louisiana, Mississippi, Tennessee, Alabama) Work at Home Information 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. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees 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 employees 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. 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. $94,900 - $130,500 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: 06-26-2026 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.
$94.9k - $130.5k
...Become a part of our caring community The Provider Contracting Executive executes physician, hospital, and other provider contracts and agreements for organizations that provide health insurance. The Provider Contracting Executive will support the Nevada and Hawaii market...SuggestedFull timeContract workTemporary workFor contractorsApprenticeshipWork from homeHome office- ...take charge of account management within Mountlake Terrace, Washington. The ideal candidate will execute strategies to enhance provider relationships, negotiate contracts, and monitor performance. A minimum of four years in provider or payer environments is required, along...Suggested
$94.9k - $130.5k
Become a part of our caring community The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive works on problems of diverse scope and complexity ranging...SuggestedBi-weekly payWeekly payFull timeContract workTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome office$250k - $310k
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UnitedHealth Group seeks a Senior Vice President for Hospital and Health System Contracting to lead negotiations and relationships with providers across California. The role involves strategic leadership, contract management, and fostering collaboration across departments...SuggestedContract work$73.1k - $171.06k
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Opportunity The Executive Director of Contract Strategy Implementation (CSI) leads a large organization of 50+ professionals accountable for annual... ...leaders to influence market access strategies and provide guidance on feasibility and alternative solutions for contract...Contract workLocal areaRelocation package- ...Executive Director, Contract Strategy Implementation About the Company Respected biotechnology (BioTech) company developing innovative treatments... ...leaders to influence market access strategies and provide guidance on contract implementation. Key responsibilities...Contract work
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The Position The Opportunity: The Executive Director of Contract Strategy Implementation (CSI) leads a large organization made up of 50+ professionals... ...leaders to influence market access strategies and provide guidance on feasibility and alternative solutions for contract...Long term contractContract workTemporary workLocal areaRelocation package- ...reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan... ...OVERVIEW: Independently assesses, analyzes, and negotiates payer contracts for all hospital and professional entities within Emory Healthcare...Contract workCasual workShift work
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Altais Health Solutions is seeking a Senior Contracting Specialist to develop contracting strategies aimed at stabilizing healthcare costs... ...analysis. The role requires establishing relationships with providers and leading complex negotiations. A competitive salary between...Contract work- Health Care Service Corporation is seeking a Sr. Manager Key Provider Contracts who will oversee negotiations and strategies for high-value provider partners. The role demands extensive experience in health care and management, focusing on financial engagement strategies...Remote job
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...serve through our Healthsource blog: About The Role Of The Provider Network Executive III The Provider Network Executive III (PNE III) develops... ...and implementation of complex or custom provider contracts. Complete negotiations within preplanned rate targets, meet...Contract work- What you’ll do: Develop and execute ongoing account management and service strategy to meet... ...Serve as the main point of contact for providers and coordinate all Premera interactions... ...of complex or custom provider contracts. Complete negotiations within preplanned...Contract work
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UnitedHealth Group is seeking a Manager within the Network Contracting team. This role involves managing provider networks and driving cost management through financial analysis. The ideal candidate will have over 5 years of experience in network management and provider...- ...Interim Fund CFO – Private Equity (4–6 Month Contract) Remote (with potential for periodic... ...and workforce design. Our Interim Executive Services division specializes in deploying... ...fund launches, and liquidity planning. Provide strategic insight to executive...Contract workInterim roleRemote work
- ...Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 members with... ...health care they need and deserve. JOB SUMMARY The Provider Contracts Manager at Community Health Choice is responsible for network...Contract workWork experience placementWork at office
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Molina Healthcare is hiring for a contract negotiation specialist in Kentucky. This role requires at least 5 years of experience in network contracting and 3 years in provider negotiations, ideally within a managed healthcare environment. The position will entail negotiating...Contract work$100.3k - $172k
...care experiences and partner closely with providers to ensure members are genuinely cared... ...business partners. Evaluates and negotiates contracts in compliance with company contract... ...from initiation and negotiation through execution, monitoring, and closure. Provider Relationships...Contract workWork experience placementWork at office3 days per week$144.23k - $195.13k
...the lives of patients while transforming your career. Contracts & Pricing Strategy Senior Manager, Denosumab Provider Contracting - US Remote In this vital role you will be responsible for the development and execution of the provider contracting strategy across...Long term contractFull timeContract workRemote workFlexible hours$265k - $290k
...Description Section Chief of Mental Health – Primary Care Provider Southern Arizona VA Health Care System (Tucson, AZ)... ...malpractice insurance with tail coverage, and no physician employment contract No significant restrictions on moonlighting· Relocation...Contract workFreelanceRelocation package- E2E Alignment Healthcare USA, LLC is seeking a Provider Contracting & Network Development professional to recruit providers and maintain contract documentation. You will ensure compliance and serve as a resource for internal customers. The ideal candidate has over 5 years...Contract work
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$98.97k - $127.01k
Astrana Health, Inc. in Monterey Park seeks a Sr. Manager - Provider Contracting to oversee the contracting department, manage provider recruitment, and enhance operational efficiencies. This role requires a Bachelor's degree and 3-5 years of contracting experience along...
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