Provider Contracting Executive

Humana • Washington, DC

1d • $94,900 - $130,500 • Remote

About The Position

The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive 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. Advises executives to develop functional strategies (often segment specific) on matters of significance.

Requirements

• 5+ years of progressive network management experience including hospital contracting and network administration in a healthcare company
• 2 or more years of project leadership experience
• Extensive provider contracting skills, including contract negotiation, preparation and implementation, financial analysis and rate proposal development

Nice To Haves

• Bachelor's degree
• Experience with ACO/Risk Contracting
• Experience with Value Based Contracting
• Tribal health, Medicaid, and/or DNSP contracting experience
• Located within the region (ID, MT, WA, WY, UT, OR, AK)

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.
• Advises executives to develop functional strategies (often segment specific) on matters of significance.

Benefits

• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree