Senior Provider Contracting Professional
Humana

Overland Park, Kansas


Description

The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements.

Responsibilities

The Senior Provider Contracting Professional 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. Identifies and recruits providers based on network composition and needs.

Required Qualifications

  • Oneor moreyears of progressive network management experience including contracting, provider relationsand/or network administration in a healthcare company
  • Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to providers
  • Excellent written and verbal communication skills
  • Ability to manage multiple priorities in a fast-paced environment
  • Proficiency in MS Office applications
  • Valid driver's license with reliable transportation and the ability and willingness to travel within the region up to 10% of the time
  • We will requirefull COVIDvaccinationfor this jobas weare ahealthcarecompany committed to putting health and safety first for our members, patients, associates and the communities we serve
  • If progressed to offer, you will be required to provide proof offullvaccination or documentation for amedical or religious exemptionconsiderationwhereallowed by law.Requests for these exemptions should be submitted at least 2 week prior to your scheduled first day of work
Preferred Qualifications
  • Bachelor's Degree
  • Experienced in negotiating managed care contracts with large physician groups, ancillary providers and hospital systems.
  • Experience with ACO/Risk Contracting
  • Experience with Value Based Contracting
Additional Information

This role is considered "hybrid/work at home" which means that when you aren't traveling to provider offices, your time will be split between working in your home office or in Humana's Market Office in Overland Park, KS, once we return to our offices, currently scheduled for January 17, 2022.

Work at Home/Remote Requirements Must ensure designated work area is free from distractions during work hours and virtual meetings Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required

Scheduled Weekly Hours

40


Job Alerts

Provide an email, zip code for jobs, and/or job category to subscribe to job alerts. Learn more now.


*By subscribing, you agree to our Terms and Privacy Policy.

More Insurance jobs


PMA Companies
New York, New York
Posted about 5 hours ago
PMA Companies
Mount Laurel, New Jersey
Posted about 4 hours ago
Western & Southern Life
Cincinnati, Ohio
Posted about 2 hours ago
View Insurance jobs »

New post from our employment blog

New Post

Get the Job: 5 In-demand Skills That Will Get You Hired

Job skills are the essential competencies that an individual needs to properly perform the tasks that a job requires. There are

Read blog post
Share this inclusion job with the community

Click a community link below, and then social share the Senior Provider Contracting Professional job.


Disability inclusion jobs logo
Asian inclusion jobs logo
Black inclusion jobs logo
Diversity inclusion jobs logo
LGBTQ inclusion jobs logo
Seniors inclusion jobs logo
Women inclusion jobs logo
Hispanic inclusion jobs logo