Senior Provider Contracting Leader - Remote

Humana; Illinois; Remote; USD 78,000 - 108,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off including holidays

Short-term and long-term disability

Life insurance

Job summary

Humana is seeking a Senior Provider Contracting Professional in the Central Region to initiate, negotiate, and execute physician, hospital, and other provider contracts. You will report to the Director, Provider Contracting.

In this remote role, you will lead contracting activity across markets, analyze financial impacts, and collaborate with legal, finance, network ops, credentialing and clinical leadership to ensure value, affordability, and member access.

Qualifications

• Bachelor's degree required.
• 5+ years in progressive network management with hospital contracting.
• Experience negotiating managed care contracts with large physician groups.
• Ability to analyze financial impact and communicate reimbursement rates.
• Proficient with MS Office applications.

Responsibilities

• Lead provider contracting activity for assigned markets and providers.
• Negotiate and execute provider agreements, amendments, renewals, and terminations.
• Develop relationships with physician groups, ancillary providers, and hospitals.
• Resolve complex provider issues related to contract interpretation.
• Collaborate with legal, finance, network operations, credentialing, and clinical leadership.
• Ensure contracts support affordability, quality, and member access objectives.

Skills

progressive network management

analysis of financial impact

contract negotiations

communication of payment structures

MS Office proficiency

Education

Bachelor's degree

Experience in healthcare contracting

Tools

Microsoft Office

Job description

Humana is seeking a Senior Provider Contracting Professional in the Central Region to initiate, negotiate, and execute physician, hospital, and other provider contracts. You will report to the Director, Provider Contracting.

In this remote role, you will lead contracting activity across markets, analyze financial impacts, and collaborate with legal, finance, network ops, credentialing and clinical leadership to ensure value, affordability, and member access.