Humana · 1 week ago
Provider Contracting Executive
South Carolina, United States
Full-time
Hybrid
Mid, Senior Level
$95K/yr - $130K/yr
5+ years expHumana is committed to putting health first for their teammates and customers. The Provider Contracting Executive is responsible for initiating, negotiating, and executing provider contracts, analyzing financial impacts, and advising executives on significant matters related to network management.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements
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
Advises executives to develop functional strategies (often segment specific) on matters of significance
Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision
Uses independent judgment requiring analysis of variable factors and determining the best course of action
Qualification
Required
5 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company
2 or more years of project leadership experience
Extensive provider contracting skills, including contract preparation and implementation, financial analysis and rate proposal development
Excellent written and verbal communication skills and experience presenting to varied audiences
Ability to manage multiple priorities in a fast-paced environment
Knowledge of Microsoft Office applications
Must live in South Carolina
Preferred
Bachelor's degree
Experience with ACO/Risk Contracting
Experience with Value Based Contracting
Benefits
Medical
Dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Volunteer time off
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Nwando Olayiwola
Chief Health Equity Officer & Senior Vice President
Recent News
2026-01-16
2026-01-16
Company data provided by crunchbase