Director, Provider Contracting

🔥 6 minutes ago

⛰️ Colorado – Remote

⛰️ Colorado – Remote

💵 $138.9k - $191k / year

⏰ Full Time

🔴 Lead

👔 Director

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• 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 • provides input into functions strategy

🎯 Requirements

• Bachelor's Degree • 5+ years of provider contracting experience, preferably in a health plan or managed care environment • 3+ years of leadership experience, including teambuilding • Proven contract preparation and negotiation skills, with an in-depth knowledge of Medicare and other reimbursement methodologies • Strong financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena • Must live within the State of Colorado with the ability and willingness to travel 10-15% of the time, primarily within the region

🏖️ 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 • many other opportunities