Humana · 1 day ago
Senior Provider Contracting Professional
United States
Full-time
Remote
Mid, Senior Level
$78K/yr - $108K/yr
3+ years expHumana Inc. is committed to putting health first, and they are seeking a Senior Provider Contracting Professional to initiate, negotiate, and execute contracts with healthcare providers. This role involves analyzing financial impacts of contracts, maintaining documentation, and influencing departmental strategy while working on moderately complex issues.
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
Assists with identifying and recruiting providers based on network composition and needs
Begins to influence department’s strategy
Makes decisions on moderately complex to complex issues regarding technical approach for project components
Exercises considerable latitude in determining objectives and approaches to assignments
Qualification
Required
3 or more years of progressive network management experience
Experienced in negotiating managed care contracts
Proficiency in analyzing, understanding, and communicating financial impact of contract terms, payment structures, and reimbursement rates to providers
Excellent written and verbal communication skills
Ability to manage multiple priorities in a fast-paced environment
Proficiency in MS Office applications
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
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
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
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