Remote Healthcare Provider Contracting Specialist

Humana Inc; Washington; Hybrid; USD 65,000 - 89,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) retirement plan

Paid time off

Holidays

Job summary

Humana Inc. seeks a Provider Contracting Professional to support the West Region in negotiating and maintaining provider agreements and to assist with contract management and analytics.

The role collaborates with market engagement, leadership, and legal teams to ensure accurate documentation and compliant processes. Responsibilities include drafting and reviewing contracts, communicating terms and rates to IPA/ACO groups, conducting basic financial analyses, and maintaining files in the tracking

Qualifications

• 2+ years' experience in provider contracting, network management, or related healthcare field.
• Knowledge of managed care or value-based contracting.
• Understand contract terms and basic financial impact.
• Experience with ACO or IPA networks (preferred).
• Experience with provider relations (preferred).
• Familiarity with contract tracking systems (preferred).
• Experience with Value Based Contracting (preferred).

Responsibilities

• Support the contracting team in drafting, reviewing, and processing provider contracts and amendments.
• Collaborate with market engagement, leadership, and legal teams to facilitate contract execution and resolve basic contract term revisions.
• Assist in communicating contract terms, payment structures, and reimbursement rates to IPA and ACO provider groups under senior guidance.
• Conduct initial financial analyses of contracts and terms; prepare summaries for senior review.
• Maintain contract files and documentation within the organization's tracking system, ensuring accuracy and compliance.
• Assist in identifying and reaching out to potential providers for network development based on current needs.
• Prepare reports and updates for contracting initiatives as requested.
• Manage assigned priorities and deadlines, escalating complex issues to senior team members.

Skills

Provider contracting experience

Knowledge of managed care

Understanding financial impact of term

Job description

Humana Inc. seeks a Provider Contracting Professional to support the West Region in negotiating and maintaining provider agreements and to assist with contract management and analytics.

The role collaborates with market engagement, leadership, and legal teams to ensure accurate documentation and compliant processes. Responsibilities include drafting and reviewing contracts, communicating terms and rates to IPA/ACO groups, conducting basic financial analyses, and maintaining files in the tracking