[Hiring] Provider Contracting Executive @Humana

Role Description

The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for Humana's Alabama Market. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to substantial.

• Primary point of contact with providers.
• Communicate contract terms, payment structures, and reimbursement rates to providers.
• Analyze financial impact of contracts and terms.
• Maintain contracts and documentation within a tracking system.
• Identify and recruit providers based on network composition and needs.
• Advise executives to develop functional strategies on matters of significance.
• Exercise independent judgment and decision making on complex issues regarding job duties and related tasks.
• Work under minimal supervision.
• Use independent judgment requiring analysis of variable factors and determining the best course of action.

Qualifications

• 5 or more years of progressive network management experience 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.
• Must live within the region with the ability and willingness to travel to providers up to 20% of the time.

Requirements

• Bachelor's Degree (Preferred).
• Experience with ACO/Risk Contracting (Preferred).
• Experience with Value Based Contracting (Preferred).

Benefits

• Competitive benefits that support whole-person well-being.
• Medical, dental and vision benefits.
• 401(k) retirement savings plan.
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave).
• Short-term and long-term disability.
• Life insurance and many other opportunities.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$94,900 - $130,500 per year

This job is eligible for a bonus incentive plan based on company and/or individual performance.