1+ months

Manager, Provider Contracting

Humana
Tampa, FL 33603
Description The Manager, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Manager, Provider Contracting works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Responsibilities The Manager, Provider Contracting 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. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department. Required Qualifications + Bachelor's Degree or 5 or more years of progressive contracting experience for a national health plan including hospital contracting + Strong financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena + Proven contract preparation skills, with an in-depth knowledge of Medicare and other reimbursement methodologies + 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 + Management experience including supervising and team building + Experience with ACO/Risk Contracting + Value based contracting experience + Medicaid programs contracting experience Additional Information Local travel will be required to provider offices within the Tampa Bay area up to 30% of the time Scheduled Weekly Hours 40 About Us Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms when and where they need it. Our employees are at the heart of making this happen and thats why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first. Equal Opportunity Employer It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailbox_tas_recruit@humana.com for assistance. Humana Safety and Security Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailbox_tas_recruit@humana.com to validate the request. <>

Categories

Posted: 2019-12-06 Expires: 2020-02-05

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Manager, Provider Contracting

Humana
Tampa, FL 33603

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast