Provider Contracting Professional 2

Humana

1d • $65,000 - $88,600 • Remote

About The Position

Become a part of our caring community and help us put health first The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Provider Contracting Professional 2 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. Use your skills to make an impact

Requirements

• 2+ years of experience in negotiating or servicing managed care contracts
• Understanding of contract terms, payment structures and reimbursement rates.
• Excellent written and verbal communication skills
• Ability to manage multiple priorities in a fast-paced environment
• Proficiency in MS Office applications
• Live in the State of Florida with the ability and willingness to travel on occasion

Nice To Haves

• Bachelor's degree
• Experience with ACO/Risk Contracting
• Experience with Value Based Contracting

Responsibilities

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

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: Mid Level
• Number of Employees: 5,001-10,000 employees