Senior Provider Contracting Professional - Behavioral Health/Medicaid jobs in United States
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Humana · 22 hours ago

Senior Provider Contracting Professional - Behavioral Health/Medicaid

positionUnited States
timeFull-time
remoteRemote
seniorityMid, Senior Level
money$78K/yr - $108K/yr
date3+ years exp

Humana is committed to putting health first for their teammates and customers. The Senior Provider Contracting Professional initiates, negotiates, and executes provider contracts and agreements, focusing on building new provider networks to support Medicaid business development.

Health CareHealth InsuranceInsuranceVenture Capital

Responsibilities

Negotiate hospital, ancillary, and physician contracts at market competitive pricing
Recruit new providers to Medicaid networks to support Humana's Medicaid business development
Communicate with other departments to ensure efficient results
Subject matter expert on their assigned region or states on all things behavioral health networks
Support team leadership in developing network recruitment strategy to meet business needs

Qualification

Network management experienceNegotiating managed care contractsAnalyzing financial impactHospital contractingACO/Risk ContractingValue-based ContractingBachelor's DegreeTeam leadership supportCommunication skills

Required

3 or more years of progressive network management experience and network administration in a healthcare company
Experienced in negotiating managed care contracts with large behavioral health physician groups, ancillary providers and/or hospitals
Proficiency in analyzing and understanding financial impact of contract terms, payment structures and reimbursement rates to providers

Preferred

Bachelor's Degree
Experience with hospital contracting
Experience with ACO/Risk Contracting
Experience with Value-based Contracting
Located in Eastern or Central Time Zone

Benefits

Medical
Dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance

Company

Humana

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Humana is a health insurance provider for individuals, families, and businesses.
dateFounded in 1964
location
Louisville, Kentucky, USA
people-size10001+ employees
web-link
http://www.humana.com

Funding

Current Stage
Public Company
Total Funding
$13.07B
2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B

Leadership Team

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Jim Rechtin
CEO and President
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Caleb Gallifant
Chief Operating Officer, CenterWell Home Health
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Recent News

Benzinga.com
UnitedHealth, CVS, Humana Face Double Trouble As Trump's Medicare Cuts Are Just The Start—PBM 'Spread Pricing' Comes Under Fire
2026-02-03
PR Newswire
Humana Redefines the Member Experience with Agent Assist Built with Google Cloud
2026-02-03
PR Newswire
Headline:Investors who lost money with Humana Inc. (NYSE: HUM) shares should contact the Shareholders Foundation in connection with Lawsuit
2026-01-22
Company data provided by crunchbase