Provider Contracting Professional

Humana

4d • $65,000 - $88,600 • Remote

About The Position

The Provider Contracting Professional supports the West Region in the negotiation, analysis, and maintenance of physician and other provider agreements for an organization delivering healthcare to the senior population. You will assist with contract management activities, provides analytical support, and ensure accurate documentation within established processes and guidelines. You will report to a Director, Provider Contracting.

Requirements

• 2+ years' experience in provider contracting, network management, or a related healthcare field
• Knowledge of managed care or value-based contracting
• Understand contract terms and basic financial impact

Nice To Haves

• Experience supporting ACO or IPA provider networks
• Experience with provider relations
• Familiarity with contract tracking or management systems
• Experience with Value Based Contracting

Responsibilities

• Support the contracting team in drafting, reviewing, and processing provider contracts and amendments
• Collaborate with market engagement, leadership, and legal teams to facilitate contract execution and resolve basic contract term revisions
• Assist in communicating contract terms, payment structures, and reimbursement rates to IPA and ACO provider groups under the guidance of senior staff
• Conduct initial financial analyses of contracts and terms; prepare summaries for senior review
• Maintain contract files and documentation within the organization's tracking system, ensuring accuracy and compliance
• Assist in identifying and reaching out to potential providers for network development based on current needs and network composition
• Prepare reports and updates for contracting initiatives as requested
• Manage assigned priorities and deadlines, escalating complex issues to senior team members

Benefits

• medical
• dental
• 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: Mid Level
• Education Level: No Education Listed