Contract Management Associate
Grow TherapySalary not specified
- Full Time
- Junior (1 to 2 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Managed CareIndustries
Requirements
Candidates should possess at least 23 years of experience in servicing or negotiating managed care contracts, proficiency in analyzing and understanding managed care contract terms, payment structures, and reimbursement rates, and excellent written and verbal communication skills. Proficiency in MS Office applications and the ability to manage multiple priorities in a fast-paced environment are also required, along with a Bachelor’s degree.
Responsibilities
The Provider Contracting Professional will initiate, negotiate, and execute behavioral health provider contracts, communicate contract terms and payment structures to providers, analyze the financial impact of contracts, maintain contracts within a tracking system, identify and recruit providers, and make decisions on moderately complex issues related to project components. They will also engage in contracting negotiations with Behavioral Health physicians and Community Mental Health providers, exercising considerable latitude in determining objectives and approaches to assignments.
Skills
Managed Care Contracts
Contract Negotiation
Financial Analysis
Communication Skills
MS Office
Behavioral Health Contracting
Medicaid Contracts
Humana
Health insurance provider for seniors and military
About Humana
Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.
Key Metrics
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees