Remote Provider Contracting Executive – AL Network Growth

Humana; Alabama; Remote; USD 78,000 - 131,000; Full time

Benefits offered by this job

Bonus incentive plan

Job summary

Humana's Alabama Market seeks a Provider Contracting Executive to lead contracting initiatives for physicians, hospitals and other providers. The role negotiates terms, analyzes financial impact, and maintains contract documentation, serving as the primary contact with providers.

Travel up to 20% is required. This remote/work-at-home position requires residing within the Alabama region to support provider engagement and travel needs.

Qualifications

• 5 or more years of progressive network management experience and network administration in a healthcare company.
• 2 or more years of project leadership experience.
• Extensive provider contracting skills, including contract negotiation, preparation and implementation, financial analysis and rate proposal development.
• Must live within the region with the ability and willingness to travel to providers up to 20% of the time

Responsibilities

• Initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for Humana's Alabama Market.
• Communicates contract terms, payment structures, and reimbursement rates to providers.
• Analyzes financial impact of contracts and terms.
• Maintains contracts and documentation within a tracking system.
• Identifies and recruits providers based on network needs.
• Advises executives to develop functional strategies on matters of significance.
• Exercises independent judgement and decision making on complex issues with minimal supervision.

Skills

Provider contracting

Contract negotiation

Financial analysis

Project leadership

Travel willingness

Education

Bachelor's Degree

Job description

Humana's Alabama Market seeks a Provider Contracting Executive to lead contracting initiatives for physicians, hospitals and other providers. The role negotiates terms, analyzes financial impact, and maintains contract documentation, serving as the primary contact with providers.

Travel up to 20% is required. This remote/work-at-home position requires residing within the Alabama region to support provider engagement and travel needs.