Apply on Employer Site

Humana · 1 day ago

Provider Contracting Professional 2

United States

Full-time

Remote

Entry, Mid Level

$65K/yr - $89K/yr

2+ years exp

Humana Inc. is committed to putting health first and is seeking a Provider Contracting Professional 2 to join their team. This role involves initiating, negotiating, and executing contracts with healthcare providers, analyzing financial impacts, and maintaining documentation within a tracking system.

Health CareHealth InsuranceInsuranceVenture Capital

Responsibilities

Initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements

Communicates contract terms, payment structures, and reimbursement rates to providers

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

Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas

Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed

Follows established guidelines/procedures

Qualification

Negotiating managed care contractsAnalyzing financial impactMS Office proficiencyValue Based ContractingACO/Risk ContractingManaging multiple prioritiesCommunication skills