Remote Senior Provider Contracts Strategy Lead

Humana, Inc.; Topeka (KS); Remote; USD 78,000 - 108,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Paid time off

Disability insurance

Life insurance

Job summary

Humana, Inc. is seeking a Senior Provider Contracting Professional to lead and execute physician, hospital, and other provider contracts in the Central Region.

This remote role may require occasional travel; you will report to the Director, Provider Contracting and collaborate with cross-functional teams to align contracting with enterprise strategy. You will negotiate terms, analyze financial impacts, and maintain relationships with providers while ensuring compliance with policy and regulatory

Qualifications

• Bachelor's degree required; 5+ years in progressive network management and hospital contracting.
• Experience negotiating managed care contracts with large physician groups, ancillary providers, and hospital systems.
• Ability to analyze financial impact of contract terms, payment structures, and reimbursement rates.
• Proficiency in MS Office applications for reporting and analysis.

Responsibilities

• Lead provider contracting activity for assigned markets, providers, and provider types within the Central Region.
• Negotiate and execute provider agreements, amendments, renewals, and terminations aligned with enterprise network strategy.
• Develop and maintain productive relationships with physician, provider groups, ancillary providers and hospitals.
• Resolve complex provider issues related to contract interpretation, escalations, and relationship management.
• Partner with internal stakeholders to ensure contracts support affordability, quality, network adequacy, growth, and member access objectives.
• Evaluate financial and operational impacts of proposed contract terms and reimbursement models.
• Support value-based arrangements and quality rewards programs where applicable.
• Ensure contract terms comply with Humana policies and regulations.

Skills

Contract negotiation

Healthcare contracting

Financial impact analysis

MS Office proficiency

Education

Bachelor's degree

Master's degree (preferred)

Tools

Microsoft Excel

MS Word

Job description

Humana, Inc. is seeking a Senior Provider Contracting Professional to lead and execute physician, hospital, and other provider contracts in the Central Region.

This remote role may require occasional travel; you will report to the Director, Provider Contracting and collaborate with cross-functional teams to align contracting with enterprise strategy. You will negotiate terms, analyze financial impacts, and maintain relationships with providers while ensuring compliance with policy and regulatory