What are the responsibilities and job description for the Director, Provider Contracting position at Humana?
Become a part of our caring community and help us put health first
The Director, Provider Contracting initiates, negotiates, and executes complex physician, hospital, and / or other provider contracts and agreements for an organization. The Director, Provider Contracting leads and develops a team of high performing contractors. The role requires an in-depth understanding of how organization capabilities interrelate across the function or segment.
The Director, Provider Contracting negotiates complex value-based contract terms, payment structures, and reimbursement rates with sophisticated 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 the implementation of new / updated programs or large-scale projects for the function and supporting technical / operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy.
Use your skills to make an impact
Required Qualifications
- Bachelor's Degree
- 5 years of extensive provider contracting experience inclusive of all provider types
- 5 years of Medicare experience
- Proven leadership experience, including teambuilding
- Comfortable with hiring and building teams
- Proven contract preparation 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 be passionate about contributing to an organization focused on continuously improving consumer experiences
- Must be willing to travel up to 20%
Preferred Qualifications
Scheduled Weekly Hours
Pay Range
138,900 - $191,000 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.
About us
Humana Inc. (NYSE : HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status.
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Salary : $138,900 - $191,000
