Director, Provider Contracting
Humana
full-time
Posted on:
Location Type: Hybrid
Location: Remote • Illinois • United States
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Salary
💰 $138,900 - $191,000 per year
Job Level
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
- assists 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
- 2+ 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
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
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 and many other opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
provider contractingcontract negotiationfinancial analysiscontract preparationMedicareMedicaidreimbursement methodologiesperformance improvementstrategic planningdocumentation management
Soft Skills
leadershipteambuildingcommunicationteam buildingorganizational skillsanalytical skillsproblem-solvinginterpersonal skillspassion for improvementgoal orientation
Certifications
Bachelor's Degree