Provider Contracting Professional
CenterWell Senior Primary Care, Des Moines, IA, United States
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The Provider Contracting Professional supports the Senior Provider Contracting Professional in the negotiation, analysis, and maintenance of physician and other provider agreements for an organization delivering healthcare to the senior population. This role assists with contract management activities, provides analytical support, and ensures accurate documentation within established processes and guidelines. Assignments involve routine to moderately complex issues where data analysis is required.
Job Responsibilities
You will support the contracting team in drafting, reviewing, and processing provider contracts and amendments.
You will collaborate with market engagement, leadership, and legal teams to facilitate contract execution and resolve basic contract term revisions.
You will assist in communicating contract terms, payment structures, and reimbursement rates to IPA and ACO provider groups under the guidance of senior staff.
You will conduct initial financial analyses of contracts and terms; prepare summaries for senior review.
You will maintain contract files and documentation within the organization’s tracking system, ensuring accuracy and compliance.
You will assist in identifying and reaching out to potential providers for network development based on current needs and network composition.
You will prepare reports and updates for contracting initiatives as requested.
You will manage assigned priorities and deadlines, escalating complex issues to senior team members.
Required Qualifications
Minimum of two years’ experience in provider contracting, network management, or a related healthcare field.
Basic knowledge of managed care or value‑based contracting.
Understand contract terms and basic financial impact.
Other Qualifications
Experience supporting ACO or IPA provider networks.
Familiarity with contract tracking or management systems.
Hours 40 hours per week.
Pay Range $65,000 - $88,600 per year. This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Travel While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.
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.
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.
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The Provider Contracting Professional supports the Senior Provider Contracting Professional in the negotiation, analysis, and maintenance of physician and other provider agreements for an organization delivering healthcare to the senior population. This role assists with contract management activities, provides analytical support, and ensures accurate documentation within established processes and guidelines. Assignments involve routine to moderately complex issues where data analysis is required.
Job Responsibilities
You will support the contracting team in drafting, reviewing, and processing provider contracts and amendments.
You will collaborate with market engagement, leadership, and legal teams to facilitate contract execution and resolve basic contract term revisions.
You will assist in communicating contract terms, payment structures, and reimbursement rates to IPA and ACO provider groups under the guidance of senior staff.
You will conduct initial financial analyses of contracts and terms; prepare summaries for senior review.
You will maintain contract files and documentation within the organization’s tracking system, ensuring accuracy and compliance.
You will assist in identifying and reaching out to potential providers for network development based on current needs and network composition.
You will prepare reports and updates for contracting initiatives as requested.
You will manage assigned priorities and deadlines, escalating complex issues to senior team members.
Required Qualifications
Minimum of two years’ experience in provider contracting, network management, or a related healthcare field.
Basic knowledge of managed care or value‑based contracting.
Understand contract terms and basic financial impact.
Other Qualifications
Experience supporting ACO or IPA provider networks.
Familiarity with contract tracking or management systems.
Hours 40 hours per week.
Pay Range $65,000 - $88,600 per year. This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Travel While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.
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.
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.
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