Senior Provider Contractor

Humana•Tampa, FL

23h•$78,400 - $107,800•Remote

About The Position

The Senior Provider Contractor, also referred to as the Senior Provider Contracting Professional, initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for a health insurance organization. The role reports to the Manager, Provider Contracting. The position communicates contract terms, payment structures, and reimbursement rates to providers; analyzes the financial impact of contracts and contract terms; maintains contracts and documentation in a tracking system; and helps identify and recruit providers based on network composition and needs. This is a remote position serving Central or Northeast Florida, with travel of up to 30% within the region and occasional travel to Humana offices for training or meetings. Overnight stays may be needed. Employees working from home must have a dedicated workspace that protects member PHI/HIPAA information and internet service with at least 25 Mbps download and 10 Mbps upload speeds. The scheduled workweek is 40 hours. The stated annual base pay range is $78,400–$107,800, with eligibility for a bonus incentive plan based on company and/or individual performance. Humana offers medical, dental, and vision benefits; a 401(k) retirement savings plan; paid time off and company and personal holidays; paid parental and caregiver leave; short- and long-term disability; life insurance; and other benefits.

Requirements

At least 5 years of progressive network management experience, including physician and/or hospital contracting.
Experience negotiating managed care contracts with large physician groups, ancillary providers, and/or hospital systems.
Proficiency in analyzing, understanding, and communicating the financial impact of contract terms, payment structures, and reimbursement rates to providers.
Live in Central or Northeast Florida.
Willingness and ability to travel up to 30% within the region, with potential overnight stays.
For home work, provide internet service with at least 25 Mbps download and 10 Mbps upload speeds and work from a dedicated space that protects member PHI/HIPAA information.

Nice To Haves

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

Responsibilities

Initiate, negotiate, and execute physician, hospital, and/or other provider contracts and agreements.
Communicate contract terms, payment structures, and reimbursement rates to providers.
Analyze the financial impact of contracts and contract terms.
Maintain contracts and documentation within a tracking system.
Help identify and recruit providers based on network composition and needs.