Director, Provider Contracting

Humana

6d • Remote

About The Position

Become a part of our caring community and help us put health first The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Director, Provider Contracting requires an in-depth understanding of how organization capabilities interrelate across the function or segment. The Director, Provider Contracting 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. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy. Use your skills to make an impact

Requirements

• Bachelor's Degree
• 8+ years of progressive experience in provider contracting to include all provider types (hospital, IDN, physician, ancillary)
• Proven leadership experience, including teambuilding
• Proven contract preparation skills, with an in-depth knowledge of Medicare and other reimbursement methodologies
• Value based contracting experience
• Strong financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena

Nice To Haves

• Master's or J.D. Degree
• Experience with Medicare/Medicaid contracting
• Experience with ACO/Risk Contracting
• Experience with key providers within the South Carolina market

Benefits

• Humana provides 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 and many other opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees