[Hiring] Director, Provider Contracting @Humana

Role Description

The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Director requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

• 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 the implementation of new/updated programs or large-scale projects for the function.
• Supports technical/operational procedures and processes.
• Implements strategic plans, drives goals and objectives, and improves performance.
• Provides input into functions strategy.

Qualifications

• Bachelor's Degree
• 5+ years of provider contracting experience
• Proven leadership experience, including teambuilding
• Proven contract preparation and negotiation skills, with an in-depth knowledge of Medicare and other reimbursement methodologies
• Strong financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena
• Live within the region (AL, LA, TN, MS)

Requirements

• Master's or J.D. Degree (Preferred)
• Experience with ACO/Risk Contracting (Preferred)
• Value based contracting experience (Preferred)
• Live in the State of Alabama (Preferred)

Benefits

• Competitive medical, dental, and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance
• Many other opportunities

Company Description

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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.