Remote Provider Contracting Executive & Network Growth

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

Job summary

Humana is seeking a Provider Contracting Executive to initiate, negotiate, and execute physician, hospital, and other provider contracts for the Alabama Market. The role involves communicating terms, analyzing financial impact, and maintaining contract documentation while traveling to provider sites as needed.

The position requires extensive provider contracting skills, including negotiation and rate proposal development, with at least 5 years in network management and a willingness to travel up

Qualifications

• Progressive network management experience in healthcare.
• Extensive provider contracting skills and negotiations.
• Experience with financial analysis and rate proposal development.

Responsibilities

• Initiate, negotiate and execute provider contracts for Humana's Alabama Market.
• Analyze financial impact of contracts and terms; communicate terms to providers.
• Maintain contracts and documents; identify and recruit providers based on network needs.

Skills

Provider contracting

Contract negotiation

Project leadership

Healthcare industry experience

Network management

Education

Bachelor's Degree

Job description

Humana is seeking a Provider Contracting Executive to initiate, negotiate, and execute physician, hospital, and other provider contracts for the Alabama Market. The role involves communicating terms, analyzing financial impact, and maintaining contract documentation while traveling to provider sites as needed.

The position requires extensive provider contracting skills, including negotiation and rate proposal development, with at least 5 years in network management and a willingness to travel up