80 applicants

Company

Humana · 10 hours ago

Senior Provider Contracting Professional

Georgia, United States

Full-time

Remote

Mid, Senior Level

$77K/yr - $106K/yr

3+ years exp

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Health CareHealth Insurance

H1B Sponsor Likely

Hiring Manager

Jennifer Robertson

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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.

Makes decisions on moderately complex to complex issues regarding technical approach for project components.

Presents and collaborates on contract terms and strategies to senior leadership.

Qualification

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Network management experienceNegotiating managed care contractsAnalyzing financial impactMS Office applicationsManaging multiple prioritiesACO/Risk ContractingValue Based Contracting

Required

3 or more years of progressive network management experience and network administration in a healthcare company

Experienced in negotiating managed care contracts and managing relationships with large physician groups and ancillary providers

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

Must live within the State of North Carolina or bordering counties

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

Glassdoor

3.8

Humana is a health insurance provider for individuals, families, and businesses.

Founded in 1964

Louisville, Kentucky, USA

10,001+ employees

http://www.humana.com

H1B Sponsorship

Humana has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (217)

2022 (257)

2021 (258)

2020 (107)