Provider Contracting Exec - Remote & Strategic

Humana; Tennessee; Remote; USD 95,000 - 131,000; Full time

Job summary

Humana is seeking a Provider Contracting Executive for the Alabama Market. You will initiate, negotiate, and execute contracts with physicians, hospitals, and other providers, and communicate terms and reimbursement structures.

You will analyze the financial impact of contracts and maintain documentation in our tracking system. As the primary contact with providers, you will advise executives on regional strategies, and travel up to 20% to provider sites as needed.

Qualifications

• 5+ years of progressive network management experience in a healthcare company.
• 2+ years of project leadership experience.
• Extensive provider contracting skills including negotiation and financial analysis.
• Must live within the region with the ability to travel up to 20% of the time.

Responsibilities

• Initiates, negotiates, and executes provider contracts for Humana's Alabama Market.
• Primary contact with providers; communicates terms, payment structures, and reimbursement rates.
• Analyze financial impact of contracts and terms.
• Maintain contracts and documentation in a tracking system.
• Advise executives on regional strategies; travel as needed up to 20%.

Skills

Network management experience

Project leadership

Provider contracting skills

Travel willingness

Education

Bachelor's Degree

Job description

Humana is seeking a Provider Contracting Executive for the Alabama Market. You will initiate, negotiate, and execute contracts with physicians, hospitals, and other providers, and communicate terms and reimbursement structures.

You will analyze the financial impact of contracts and maintain documentation in our tracking system. As the primary contact with providers, you will advise executives on regional strategies, and travel up to 20% to provider sites as needed.