Remote Provider Contracting Specialist

Humana; United States; Remote; USD 65,000 - 89,000; Full time

Job summary

Humana is seeking a Provider Contracting Professional 2 to initiate, negotiate, and execute physician, hospital, and other provider contracts. The role requires analyzing financial impact, communicating terms, and maintaining contracts in a tracking system.

Remote work is permitted anywhere in the United States. The candidate should have 2+ years of experience in managed care contracts, strong communication skills, and proficiency with MS Office.

Qualifications

• 2+ years of experience in servicing or negotiating managed care contracts.
• Ability to analyze, understand, and communicate the financial impact of contract terms, payment structures and reimbursement rates to providers.
• Excellent written and verbal communication skills.
• Proficiency in MS Office applications.
• Ability to manage multiple priorities in a fast-paced environment.

Responsibilities

• Initiates, negotiates, and executes provider contracts.
• Communicates contract terms, payment structures, and reimbursement rates to providers.
• Analyzes the financial impact of contracts and terms.
• Maintains contracts and documentation in a tracking system.
• Assists with identifying and recruiting providers based on network needs.
• Understands department and organizational strategy and operating objectives.
• Follows established guidelines and procedures.

Skills

Contract negotiation

Financial analysis

Communication skills

MS Office

Multitasking

Education

Bachelor's Degree

Job description

Humana is seeking a Provider Contracting Professional 2 to initiate, negotiate, and execute physician, hospital, and other provider contracts. The role requires analyzing financial impact, communicating terms, and maintaining contracts in a tracking system.

Remote work is permitted anywhere in the United States. The candidate should have 2+ years of experience in managed care contracts, strong communication skills, and proficiency with MS Office.