Humana

Senior Contract Management Professional

San Antonio, Texas, United States

Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries

Senior Contract Management Professional

Position Overview

Become a part of our caring community and help us put health first. The Senior Contract Management Professional evaluates, drafts, and negotiates contracts and other related documents for Humana, its subsidiaries, and affiliates. This role involves managing vendor engagements for the acquisition of goods and services, including but not limited to:

  • Non-disclosure agreements
  • HIPAA business associate agreements
  • Software license agreements
  • Appliance agreements
  • Cloud services agreements
  • Assignments
  • Services agreements
  • CMS addenda and other required regulatory addenda

Work assignments involve moderately complex to complex issues requiring in-depth evaluation of variable factors.

Responsibilities

  • Advise business partners and stakeholders on contractual risk and mitigating factors during negotiations and prior to execution.
  • Liaise with Legal, Risk Management, Internal Audit, Business Partner Compliance, and other internal regulatory/compliance functions to mitigate contractual risk.
  • Advise on respective rights and obligations and assist in issue resolution related to each party's performance under a contract.
  • Support merger, acquisition, and divestiture activities through pre- and post-close review of contracts and assumption/disposition of vendor contracts.
  • Undertake contracts-related special projects.
  • Influence department strategy and make decisions on moderately complex to complex issues regarding technical approach for project components without direction.
  • Exercise considerable latitude in determining objectives and approaches to assignments.

Requirements

  • Bachelor's degree
  • Paralegal or JD from an accredited law school
  • 5+ years of experience writing and negotiating contracts in a highly regulated industry
  • Ability to communicate with operational and market leadership to understand service requirements
  • Strong written and verbal communication skills
  • Ability to work and solve problems independently
  • Passion for contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Healthcare industry background
  • Experience with HIPAA and Medicaid

Employment Type

  • Full time

Location Type

  • [Information not provided]

Salary

  • [Information not provided]

Work From Home (WAH) Internet Requirements

To ensure effective work for Home or Hybrid Home/Office employees, self-provided internet service must meet the following criteria:

  • Minimum download speed of 25 Mbps and upload speed of 10 Mbps.
  • Wireless, wired cable, or DSL connection is suggested.
  • Satellite, cellular, and microwave connections may be used only if approved by leadership.
  • Employees living and working from Home in California, Illinois, Montana, or South Dakota will receive a bi-weekly internet expense payment.
  • Humana will provide appropriate telephone equipment for Home or Hybrid Home/Office employees.
  • Work must be conducted from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Skills

Contract Negotiation
Contract Drafting
NDA
HIPAA
Software Licensing
Cloud Services
CMS Addenda
Risk Management
Legal
Compliance
Mergers and Acquisitions
Divestitures

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.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

Land your dream remote job 3x faster with AI