Provider Contracting Professional

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The Provider Contracting Professional supports the West Region in the negotiation, analysis, and maintenance of physician and other provider agreements for an organization delivering healthcare to the senior population. You will assist with contract management activities, provides analytical support, and ensure accurate documentation within established processes and guidelines. You will report to a Director, Provider Contracting.

Job Responsibilities:
- Support the contracting team in drafting, reviewing, and processing provider contracts and amendments
- Collaborate with market engagement, leadership, and legal teams to facilitate contract execution and resolve basic contract term revisions
- Assist in communicating contract terms, payment structures, and reimbursement rates to IPA and ACO provider groups under the guidance of senior staff
- Conduct initial financial analyses of contracts and terms; prepare summaries for senior review
- Maintain contract files and documentation within the organization's tracking system, ensuring accuracy and compliance
- Assist in identifying and reaching out to potential providers for network development based on current needs and network composition
- Prepare reports and updates for contracting initiatives as requested
- Manage assigned priorities and deadlines, escalating complex issues to senior team members

Use your skills to make an impact

Required Qualifications
- 2+ years' experience in provider contracting, network management, or a related healthcare field
- Knowledge of managed care or value-based contracting
- Understand contract terms and basic financial impact

Preferred Qualifications
- Experience supporting ACO or IPA provider networks
- Experience with provider relations
- Familiarity with contract tracking or management systems
- Experience with Value Based Contracting

Additional Information

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.

$65,000 - $88,600 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.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insu