Provider Contracting Professional 2 - Florida Panhandle

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Job Information
Humana
Provider Contracting Professional 2 - Florida Panhandle
in
Tampa
Florida
Description
The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements.
Responsibilities
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.
Negotiate and re-negotiate high-volume, transactional-style physician and ancillary contracts.
Function as the single point-of-contact for all on-going contractual and service issues as needed by providers.
Facilitate provider education, training them in order to increase their familiarity and satisfaction with Humana's systems and strategies.
Create trend analyses and summaries for decision-making purposes.
Interface with market leaders to align contracting needs and business efforts.
Set targets and priorities in order to meet national and market-specific network needs.
Required Qualifications
2 years of provider contracting or provider servicing experience
Proficiency in analyzing, understanding and communicating financial trends
Excellent written and verbal communication skills
Experience presenting to varied audiences
Ability to manage multiple priorities in a fast-paced environment
Knowledge of Microsoft Office applications
Driver's license and vehicle are required
Ability and willingness to travel to provider offices within the region 50% of the time
We will require full COVID vaccination (**** for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.
If you choose to accept an offer for this job, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. Requests for these exemptions should be submitted at least 2 week prior to your scheduled first day of work.
Preferred Qualifications
Bachelor's Degree in Business Administration or a related field
Experience with ACO/Risk Contracting
Working knowledge in the areas of Group Practice Management, Long-Term Acute Care, home health, home infusion, behavioral health, ambulatory surgery, and the outpatient experience
Additional Information
This position is considered work at home, however, you must live in the Florida Panhandle region as you will be required to travel to provider offices within this region up to 50% of the time.
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
Scheduled Weekly Hours
40

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