Associate Director Provider Contracting

Profile

Description

The Associate Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Associate Director, Provider Contracting requires a solid understanding of how organization capabilities interrelate across department(s).

Responsibilities

The Associate Director, Provider Contracting 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. Decisions are typically related to identifying and resolving complex technical and operational problems within department(s), and could lead up to 10 multiple managers and/or highly specialized professional associates.

Humana 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) with a generous Company mat

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

Bachelor's Degree

5 years of experience working within a healthcare company

Experience with provider contracting and provider relations

3 years of management experience including supervising and team building

Strong financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena

Proven contract preparation skills, with an in-depth knowledge of Medicare/Medicaid and other reimbursement methodologies

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

Ability to manage multiple deadlines in a fast-paced environment

Knowledge of Microsoft Office applications

Ability and willingness to travel within the region up to 25% of the time

Preferred Qualifications

Master's Degree

Experience with ACO/Risk Contracting

Value based contracting experience

Additional Information

This position is considered remote/work at home, however, the preferred candidate will live within the State of Louisiana.

WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.

Satellite and Wireless Internet service is NOT allowed for this role.

A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of COVID-19 vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Scheduled Weekly Hours

40

Company info

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