[Hiring] Senior Provider Contractor @Humana

Role Description

The Senior Provider Contractor / Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. You will report to the Manager, Provider Contracting.

• 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.
• Help with identifying and recruiting providers based on network composition and needs.

Qualifications

• 5 or more years of progressive network management experience including physician and/or hospital contracting.
• Experience in negotiating managed care contracts with large physician groups, ancillary providers and/or hospital systems.
• Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to providers.
• Live in either Central or Northeast Florida.

Requirements

• Willing and able to travel up to 30% within the region with potential overnight stays.
• Work at Home Requirements:
  • Minimum download speed of 25 Mbps and upload speed of 10 Mbps required.
  • Wireless, wired cable or DSL connection is suggested.
  • Must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Occasional travel to Humana's offices for training or meetings may be required.

Benefits

• 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.

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.

$78,400 - $107,800 per year

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