Director of Provider Contracting at Humana negotiating physician and provider contracts for health services. Leading strategic planning and improving performance in health insurance sector.
Responsibilities
initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements
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
assists with identifying and recruiting providers based on network composition and needs
implements strategic plans, drives goals and objectives, and improves performance.
provides input into functions strategy
Requirements
Bachelor's Degree
2+ years of extensive provider contracting experience inclusive of all provider types
Proven leadership experience, including teambuilding
Comfortable with hiring and building teams
Proven contract preparation skills, with an in-depth knowledge of Medicare, Medicaid, 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.
Benefits
medical, dental and vision benefits
401(k) retirement savings plan
time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
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