Senior Provider Contracting Professional
Humana, Iowa, LA, United States
Senior Provider Contracting Professional
The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and other provider contracts and agreements for a health‑insurance organization. Responsibilities include managing moderately to highly complex contracting issues, performing in‑depth analyses of variable factors, analyzing financial impacts of contract terms, communicating payment structures and reimbursement rates to providers, keeping contracts and documentation updated in a tracking system, and assisting with provider recruitment to support network composition. The role influences departmental strategy and makes independent decisions on complex technical issues without direct supervision.
Required Qualifications
Bachelor's degree
Five or more years of progressive network management experience, including hospital contracting and network administration within a healthcare company
Experience negotiating managed‑care contracts with large physician groups, ancillary providers, and hospital systems
Proficiency 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
Passion for contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Master's degree
Experience with ACO/Risk contracting
Experience with Value‑Based contracting
Residency in MO, KS, IA, IL, NE, MN, or WI
Remote‑Work‑At‑Home Requirements
Minimum download speed of 25 Mbps and upload speed of 10 Mbps; wireless, wired cable, or DSL connection preferred
Satellite, cellular, and microwave connections may be used only if approved by leadership
Employees located in CA, IL, MT, or SD will receive a bi‑weekly payment for internet expense
Company will supply telephone equipment suitable for the position
Employees must work from a dedicated space free of interruptions to protect PHI / HIPAA information
Travel: This is a remote position; occasional travel for training or meetings may be required.
Scheduled Weekly Hours:
40 hours per week
Pay Range:
$78,400 – $107,800 per year (compensation may vary by location and individual qualifications). Eligible for a bonus incentive plan based on company and/or individual performance.
Benefits:
Humana offers competitive medical, dental, and vision coverage; 401(k) retirement savings plan; paid time off, holidays, and volunteer time off; paid parental and caregiver leave; short‑term and long‑term disability; life insurance; and other opportunities that support whole‑person well‑being.
Equal Opportunity Employer It is the policy of Humana to 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 employment decisions are based solely on job requirements.
#J-18808-Ljbffr
Required Qualifications
Bachelor's degree
Five or more years of progressive network management experience, including hospital contracting and network administration within a healthcare company
Experience negotiating managed‑care contracts with large physician groups, ancillary providers, and hospital systems
Proficiency 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
Passion for contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Master's degree
Experience with ACO/Risk contracting
Experience with Value‑Based contracting
Residency in MO, KS, IA, IL, NE, MN, or WI
Remote‑Work‑At‑Home Requirements
Minimum download speed of 25 Mbps and upload speed of 10 Mbps; wireless, wired cable, or DSL connection preferred
Satellite, cellular, and microwave connections may be used only if approved by leadership
Employees located in CA, IL, MT, or SD will receive a bi‑weekly payment for internet expense
Company will supply telephone equipment suitable for the position
Employees must work from a dedicated space free of interruptions to protect PHI / HIPAA information
Travel: This is a remote position; occasional travel for training or meetings may be required.
Scheduled Weekly Hours:
40 hours per week
Pay Range:
$78,400 – $107,800 per year (compensation may vary by location and individual qualifications). Eligible for a bonus incentive plan based on company and/or individual performance.
Benefits:
Humana offers competitive medical, dental, and vision coverage; 401(k) retirement savings plan; paid time off, holidays, and volunteer time off; paid parental and caregiver leave; short‑term and long‑term disability; life insurance; and other opportunities that support whole‑person well‑being.
Equal Opportunity Employer It is the policy of Humana to 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 employment decisions are based solely on job requirements.
#J-18808-Ljbffr