Provider Contracting Executive
Full-time
Humana
Become a part of our caring community
The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for Humana's Alabama Market. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to substantial.
The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for Humana's Alabama Market. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to substantial.
The Provider Contracting Executive will be the primary point of contact with the providers. You will communicate contract terms, payment structures, and reimbursement rates to providers. Analyze financial impact of contracts and terms. Maintain contracts and documentation within a tracking system. Identify and recruit providers based on network composition and needs. Advise executives to develop functional strategies (often segment specific) on matters of significance. Exercise independent judgment and decision making on complex issues regarding job duties and related tasks, and work under minimal supervision, Use independent judgment requiring analysis of variable factors and determining the best course of action.
Use your skills to make an impactRequired Qualifications
- 5 or more years of progressive network management experience and network administration in a healthcare company
- 2 or more years of project leadership experience
- Extensive provider contracting skills, including contract negotiation, preparation and implementation, financial analysis and rate proposal development
- Must live within the region with the ability and willingness to travel to providers up to 20% of the time
Preferred Qualifications
- Bachelor's Degree
- Experience with ACO/Risk Contracting
- Experience with Value Based Contracting
Additional Information
This position is considered "remote/work at home
Vacancy posted 10 hours ago
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