Senior Provider Contracting Strategist - Remote

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

Job summary

Humana is seeking a Senior Provider Contracting Professional to lead the contracting process for physicians, hospitals, and other providers in the Central Region. You will negotiate terms, renewals, amendments, and terminations in line with enterprise strategy, while building strong relationships with providers and internal stakeholders.

You will evaluate financial impacts of terms and reimbursement models, support value-based arrangements, and ensure compliance with policies and regulations.

Qualifications

• Bachelor's degree required.
• 5+ years of progressive network management experience including hospital contracting and network administration in a healthcare company.
• Experienced in negotiating managed care contracts with large physician groups, ancillary providers, and hospital systems.
• Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures, and reimbursement rates to providers.
• Proficiency in MS Office applications.

Responsibilities

• Lead provider contracting activity for assigned markets, providers, and provider types within assigned territory.
• Negotiate and execute provider agreements, amendments, renewals, and terminations in alignment 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 provider contracts support affordability, quality, network adequacy, growth, and member access objectives.

Skills

Contract negotiation

Provider contracting

Relationship management

Financial analysis

Communication

Education

Bachelor's degree

Master's degree

Tools

MS Office

Healthcare contracting software

Job description

Humana is seeking a Senior Provider Contracting Professional to lead the contracting process for physicians, hospitals, and other providers in the Central Region. You will negotiate terms, renewals, amendments, and terminations in line with enterprise strategy, while building strong relationships with providers and internal stakeholders.

You will evaluate financial impacts of terms and reimbursement models, support value-based arrangements, and ensure compliance with policies and regulations.