Provider Contracting Network Rep

Provider Contracting Network Rep page is loaded## Provider Contracting Network Rep locations:
Remote Florida:
Work at Home - Utah:
Work at Home - Washington:
Work at Home - Virginia:
Work at Home - Texastime type:
Full time posted on:
Posted Todayjob requisition :
R-400462#
** Become a part of our caring community and help us put health first
** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance.

Provider Contracting Professional 2
* Actively communicates contract terms, payment structures, reimbursement rates to providers internal and external constituents
* Negotiating and maintaining contracts with hospital partners to ensure our network meets regulatory and business requirements.
* Managing relationships with key providers to support member access, minimize disruption, and maintain competitive advantage.
* Ensuring contract terms are implemented accurately and that our organization is protected from risk, both financially and legally.
* Supporting cross-functional teams with timely updates on contracting status, rate changes, and network developments.
* Managing these contract relationships with large statewide hospital systems requires the team to work with internal and external constituents on all areas of contracting; network management; adequacy and gaps; provider education; conflict resolution; claim escalation and research; compliance initiatives and grievances; joint operating committees; and all other facets of the business while also working closely with our Humana counterparts on enterprise initiatives.#

** Use your skills to make an impact
**** Required Qualifications
*** 2 or more years of experience in negotiating managed care contracts with physician specialty, hospital and/or other provider contracts.
* Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to providers.
* Experience with public speaking and presentation skills
** Preferred Qualifications
*** Bachelor's degree
* Experience with ACO/Risk Contracting
* Experience with Value Based Contracting
* Excellent written and verbal communication skills
* Ability to manage multiple priorities in a fast-paced environment
* Proficiency in MS Office applications
** Additional Information
*** Travel to Provider facing meetings as needed based on business needs
* Hours- 8am to 5pm ESTAs part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.  If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided.  Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
** Work at Home Guidance
** To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
* At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
* Satellite, cellular and microwave connection can be used only if approved by leadership
* Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
* Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
* Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Internal
- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/viva engage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.#LI-BB1

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…