Remote Senior Provider Contracting Lead – Healthcare Networks

Humana, Inc.; Illinois; Hybrid; USD 78,000 - 108,000; Full time

Benefits offered by this job

Bonus incentive plan

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off and holidays

Job summary

Humana, Inc. is seeking a Senior Provider Contracting Professional to lead contracting activities across designated markets.

You will negotiate and execute provider agreements, develop strong relationships with physician groups and hospitals, and ensure contracts align with Humana’s strategies on affordability, quality, and access. You will collaborate with legal, finance, and network operations to evaluate financial impacts and support value-based arrangements while ensuring compliance with

Qualifications

• Bachelor’s degree required.
• 5+ years of progressive network management experience including hospital contracting.
• Experience negotiating managed care contracts with large physician groups, ancillary providers, and hospital systems.

Responsibilities

• Lead provider contracting activity for assigned markets, providers and provider types within territory.
• Negotiate and execute provider agreements, amendments, renewals, and terminations.
• Develop and maintain relationships with physician groups, ancillary providers and hospitals.
• Resolve complex provider issues related to contract interpretation and relationship management.
• Collaborate with internal stakeholders to ensure contracts support affordability, quality, network adequacy, growth and member access.

Skills

Hospital contracting

Provider network management

Contract negotiation

Financial impact analysis

MS Office

Education

Bachelor's degree

Job description

Humana, Inc. is seeking a Senior Provider Contracting Professional to lead contracting activities across designated markets.

You will negotiate and execute provider agreements, develop strong relationships with physician groups and hospitals, and ensure contracts align with Humana’s strategies on affordability, quality, and access. You will collaborate with legal, finance, and network operations to evaluate financial impacts and support value-based arrangements while ensuring compliance with