Director, Provider Contracting
Humana
full-time
Posted on:
Location Type: Hybrid
Location: Chicago • Illinois • 🇺🇸 United States
Visit company websiteSalary
💰 $138,900 - $191,000 per year
Job Level
Lead
About the role
- 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
- implements strategic plans, drives goals and objectives, and improves performance
- provides input into functions strategy
Requirements
- Bachelor's Degree
- 5 years of extensive provider contracting experience inclusive of all provider types
- Proven leadership experience, including teambuilding
- Comfortable with hiring and building teams
- Proven contract preparation skills, with an in-depth knowledge of Medicare, Medicaid, and other reimbursement methodologies
- Strong financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
provider contractingcontract negotiationfinancial analysiscontract preparationreimbursement methodologiesMedicareMedicaidperformance improvementstrategic planningdocumentation management
Soft skills
leadershipteambuildingcommunicationteam buildinggoal settingstrategic thinkinganalytical thinkingproblem solvinginterpersonal skillscollaboration
Certifications
Bachelor's Degree