Provider Contracting Executive

## Provider Contracting Executive Apply:
Remote Alabama:
Remote Tennessee:
Remote Georgia:
Remote Mississippi:
Full time:
Posted Today:
R-423751#
** Become a part of our caring community
** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for Humana's Alabama Market. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to substantial.

The Provider Contracting Executive will be the primary point of contact with the providers. You will communicate contract terms, payment structures, and reimbursement rates to providers. Analyze financial impact of contracts and terms. Maintain contracts and documentation within a tracking system. Identify and recruit providers based on network composition and needs. Advise executives to develop functional strategies (often segment specific) on matters of significance.

Exercise independent judgment and decision making on complex issues regarding job duties and related tasks, and work under minimal supervision, Use independent judgment requiring analysis of variable factors and determining the best course of action.#
** Use your skills to make an impact
**** Required Qualifications*
* * 5 or more years of progressive network management experience and network administration in a healthcare company
* 2 or more years of project leadership experience
* Extensive provider contracting skills, including contract negotiation, preparation and implementation, financial analysis and rate proposal development
* Must live within the region with the ability and willingness to travel to providers up to 20% of the time  
** Preferred Qualifications*
* * Bachelor's Degree
* Experience with ACO/Risk Contracting
* Experience with Value Based Contracting  
** Additional Information
** This position is considered  remote/work at home , however, you must live within reasonable driving distance of the Alabama region to be considered for this role as you will be required to travel to providers within the region.

Work at Home Requirements:
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel:
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
** Scheduled Weekly Hours
** 40
* * Pay Range
** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$94,900 - $130,500 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
** Description of Benefits
** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.