Job description

The Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to providers. 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. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.

Benefits
We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with matching, tuition reimbursement, paid vacation and sick time, paid holidays, work-life balance, growth, a positive culture and much more.

Remote Role

This is a remote role, which requires local travel, 50-75% weekly. Travel includes, but is not limited to, daily market visits with current/new providers and meeting with Company leadership for weekly meetings.

Required Qualifications

• Bachelor's degree
• A minimum of five years of progressive network management experience including hospital contracting and network administration in a healthcare company
• Experienced in negotiating managed care contracts with large physician groups, ancillary providers and hospital systems.
• Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to providers.
• Excellent written and verbal communication skills
• Ability to manage multiple priorities in a fast-paced environment
• Proficiency in MS Office applications
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Mileage will be reimbursed

Vaccine Policy

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

Medical specialties:

• Primary Care

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• "What is your desired salary? Please do not state negotiable, put a range you are comfortable with."

Education:

• Bachelor's (Required)

Experience:

• Network management including hospital contracting: 5 years (Required)
• Microsoft Office: 1 year (Required)
• analyzing financial impact of contract terms: 1 year (Required)
• Network administration in a healthcare company: 1 year (Required)

Willingness to travel:

• 75% (Required)

Work Location: Remote

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