Provider Contracting Executive

About the Role

Become a part of our caring community and help us put health first. The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements.

Responsibilities

• Analyzes financial impact of contracts and terms.
• Maintains contracts and documentation within a tracking system.
• May assist with identifying and recruiting providers based on network composition and needs.
• Advises executives to develop functional strategies (often segment specific) on matters of significance.
• Communicates contract terms, payment structures, and reimbursement rates to providers.
• Works on problems of diverse scope and complexity ranging from moderate to substantial.
• Uses independent judgment requiring analysis of variable factors and determining the best course of action.
• Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision.

Required Qualifications

• 5 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company
• 2 or more years of project leadership experience
• Extensive provider contracting skills, including contract negotiation, preparation and implementation, financial analysis and rate proposal development
• Excellent written and verbal communication skills and experience presenting to varied audiences
• Ability to manage multiple priorities in a fast-paced environment
• Working knowledge of Microsoft Office applications

Preferred Qualifications

• Bachelor's Degree
• Experience with ACO/Risk Contracting
• Experience with Value Based Contracting

Work Environment & Schedule

• Employment Type: Full time
• Scheduled Weekly Hours: 40
• Work Location: Remote/Work at Home (must live in the State of Florida)
• Internet Service Requirements: Minimum download speed of 25 Mbps and upload speed of 10 Mbps (wireless, wired cable or DSL suggested; satellite, cellular and microwave connections may be approved by leadership).
• California, Illinois, Montana, or South Dakota Residents: Will be provided a bi-weekly payment for internet expense.
• Equipment: Humana will provide appropriate telephone equipment.
• Work Space: Must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Travel: Occasional travel to Humana's offices for training or meetings may be required.

Compensation & Benefits

• Pay Range: $94,900 - $130,500 per year
• Bonus: Eligible for a bonus incentive plan based on company and/or individual performance.
• Benefits: Humana offers competitive benefits supporting whole-person well-being, including:
  • Medical, dental, and vision benefits
  • 401(k) retirement savings plan
  • Time off (paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • Short-term and long-term disability