Provider Contracting Executive

Become a part of our caring community and help us put health first
 

The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance.

               

The Provider Contracting Executive communicates and strategizes internally and externally contract terms, payment structures, and reimbursement rates to providers. 

Typical Role Responsibilities, but not limited to:

• Analyze financial impact of contracts and terms.

• Maintain contracts and documentation within a tracking system.

• Assist in identifying and recruiting providers based on network composition and needs.

• Advise executives to develop functional strategies (often segment specific) on matters of significance.

Use your skills to make an impact
 

Required Qualifications

• 8+ years of progressive network management experience; this can include: hospital, ACO, and or physicians/group contracting in a healthcare company

• 2+ years of project management experience

• Provider contracting experience, including contract preparation, negotiation and implementation, financial analysis and rate proposal development.

• Ability to travel within a designated area (Texas and/or Arkansas) up to 20% of the time

Preferred Qualifications

• Bachelor's Degree

• Experience contracting with large hospital systems

• Experience with ACO/Risk Contracting

• Experience with Value Based Contracting

• Texas and/or Arkansas market experience (live within region, preferred TX or AR)

Additional Information

As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

WAH Internet Statement

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.

• Satellite, cellular and microwave connection can be used only if approved by leadership.

• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Alert: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Scheduled Weekly Hours

40

About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.