Contracting Executive

Profile

Description

If you are passionate about value-based care and want to contribute to our mission to increase access to quality, affordable healthcare, consider a Network Contacting career with Humana. We're seeking a talented results-oriented provider and hospital contractor to join our team in Dallas Fort Worth, one of the largest Humana value-based markets in the country.

Responsibilities

The Provider Contracting Executive 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.

Required Qualifications

Bachelor's degree

6-8 or more years of progressive network management experience including hospital, ACO, and or physicians/group contracting in a healthcare company

2 years of contracting experience

Extensive provider contracting skills, including contract negotiation, 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 be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Master's Degree

Relationship management experience

2 or more years of project leadership experience

Experience with ACO/Risk Contracting

Experience with Value Based Contracting

Additional Information

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com