Humana
Provider Contracting Professional 2
– Humana This range is provided by Humana. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $65,000.00/yr - $88,600.00/yr
Become a part of our caring community and help us put health first.
Responsibilities The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement rates to providers. The role analyzes the financial impact of contracts and terms, maintains contracts and documentation within a tracking system, and may assist with identifying and recruiting providers based on network composition and needs.
Understanding department, segment, and organizational strategy and operating objectives, including their linkages to related areas, guides decision making. The role makes decisions regarding work methods, occasionally in ambiguous situations, and requires minimal direction while following established guidelines and procedures.
Required Qualifications
2+ years of experience in negotiating or servicing managed care contracts with physician, hospital, and/or other provider contracts.
Experience in analyzing, understanding, and communicating the 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 live in the State of Florida.
Preferred Qualifications
Bachelor's degree.
Experience with ACO/Risk Contracting.
Experience with Value Based Contracting.
Additional Information This role is “remote work at home.”
You must live/work in the State of Florida.
Work from Home Information
Internet service must meet at least a download speed of 25 Mbps and an upload speed of 10 Mbps, using wireless, wired cable, or DSL connection.
Satellite, cellular, and microwave connections may be used only if approved by leadership.
Employees who live and work from home in the state of California, Illinois, Montana, or South Dakota receive a bi‑weekly payment for internet expense.
Humana will provide telephone equipment as needed.
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 hours per week.
Description Of Benefits Humana, Inc. offers competitive benefits that support whole‑person well‑being, including medical, dental, vision, 401(k) retirement savings, paid time off, short‑term and long‑term disability, life insurance, and more.
About Us Humana Inc. is committed to putting health first for teammates, customers, and the company. Through Humana’s insurance and CenterWell services, we help people achieve their best health.
Equal Opportunity Employer Humana does not 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. Humana is an affirmative action employer, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, and makes employment decisions based only on valid job requirements.
Seniority level Entry level
Employment type Full-time
Job function Other
Industries Insurance
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– Humana This range is provided by Humana. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $65,000.00/yr - $88,600.00/yr
Become a part of our caring community and help us put health first.
Responsibilities The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement rates to providers. The role analyzes the financial impact of contracts and terms, maintains contracts and documentation within a tracking system, and may assist with identifying and recruiting providers based on network composition and needs.
Understanding department, segment, and organizational strategy and operating objectives, including their linkages to related areas, guides decision making. The role makes decisions regarding work methods, occasionally in ambiguous situations, and requires minimal direction while following established guidelines and procedures.
Required Qualifications
2+ years of experience in negotiating or servicing managed care contracts with physician, hospital, and/or other provider contracts.
Experience in analyzing, understanding, and communicating the 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 live in the State of Florida.
Preferred Qualifications
Bachelor's degree.
Experience with ACO/Risk Contracting.
Experience with Value Based Contracting.
Additional Information This role is “remote work at home.”
You must live/work in the State of Florida.
Work from Home Information
Internet service must meet at least a download speed of 25 Mbps and an upload speed of 10 Mbps, using wireless, wired cable, or DSL connection.
Satellite, cellular, and microwave connections may be used only if approved by leadership.
Employees who live and work from home in the state of California, Illinois, Montana, or South Dakota receive a bi‑weekly payment for internet expense.
Humana will provide telephone equipment as needed.
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 hours per week.
Description Of Benefits Humana, Inc. offers competitive benefits that support whole‑person well‑being, including medical, dental, vision, 401(k) retirement savings, paid time off, short‑term and long‑term disability, life insurance, and more.
About Us Humana Inc. is committed to putting health first for teammates, customers, and the company. Through Humana’s insurance and CenterWell services, we help people achieve their best health.
Equal Opportunity Employer Humana does not 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. Humana is an affirmative action employer, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, and makes employment decisions based only on valid job requirements.
Seniority level Entry level
Employment type Full-time
Job function Other
Industries Insurance
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