Provider Contracting Executive

Profile

Job Information

Humana

Provider Contracting Executive

in

Cincinnati

Ohio

Description

The Provider Contracting Executive works with large health systems to negotiate contract terms, contract language, payment structures and reimbursement rates. Additionally, you will negotiate contract terms for Value-Based incentive plans and site of service differentials. Analyzes financial impact of contracts and terms. Maintains contracts and documentation within a tracking system. Identifies and recruits providers based on network composition and needs. Advises executives to develop functional strategies (often segment specific) on matters of significance. You will travel to providers within the region, as well as attend onsite meetings/trainings in Humana's Market Office.

Responsibilities

In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:

o Medical Benefits

o Dental Benefits

o Vision Benefits

o Health Savings Accounts

o Flex Spending Accounts

o Life Insurance

o 401(k)

o PTO including 7 paid holidays, two personal holidays, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time

o And more

Required Qualifications

4 or more 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

Excellent written and verbal communication skills and experience presenting to varied audiences

Ability to manage multiple priorities in a fast-paced environment

Knowledge of Microsoft Office applications

Preferred Qualifications

Bachelor's Degree

Experience with Value Based Contracting

Additional Information

This role is considered remote/work at home, however, the preferred candidate will live within the region (VA, DC, DE, MD) as you will be required to travel to provider offices within this region.

Work at Home/Remote Requirements Must ensure designated work area is free from distractions during work hours and virtual meetings Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required

For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

Provide proof of full vaccination or commit to testing protocols

*OR  *

Provide proof of applicable exemption including any required supporting documentation

​​Medical, religious, state and remote-only work exemptions are available.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com