1+ months

Provider Contracting Executive

Humana
Federal Way, WA 98093
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Provider Contracting Executive is responsible for value based contracting for complex provider systems and negotiates incentive based compensation to motivate provider performance. This position is also responsible for a geographic network, insuring the highest quality of providers available for our members and engaged providers. Analyzes financial impact of contracts and terms. Maintains contracts and documentation within a tracking system. 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 + 4 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company + 8+ years of healthcare industry experience + Extensive provider contracting skills, including contract 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 + Willing to travel within the local region approximately 25% of the time Preferred Qualifications + Master's Degree + Experience with ACO/Risk Contracting + Experience with Value Based Contracting Additional Information This role is the highest level of contracting within Humana and will report to a Director 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. <>

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Posted: 2019-10-02 Expires: 2019-12-18

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Provider Contracting Executive

Humana
Federal Way, WA 98093

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