Provider Contracting ExecutiveKY Staffing • Frankfort, KY, US
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Provider Contracting Executive
KY Staffing • Frankfort, KY, US
7 days ago
Job type
- Full-time
- Temporary
Job descriptionKey Accountabilities Maintain responsibility for developing contracting methodologies and foster relationships with large hospital systems. Maintains metrics and health quality based goals to meet and exceed for providers to gain additional payments. Works with senior executives on the development of functional strategies and provides recommendations on matters of significance. Advanced subject matter expert, highly competent able to work at very high levels in multiple knowledge and functional areas across multiple departments. 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. May assist with analysis and recruitment of providers based on network deficiencies, composition and needs. Use your skills to make an impact Required Qualifications U.S. citizenship for this position Successfully receive interim approval for government security clearance Bachelor's Degree 5 years of experience with Value Based Contracting 3 years of experience with provider contracting skills including contract preparation and implementation, strong financial acumen with proficiency in analysis of rate proposal development Experience presenting to varied audiences Preferred Qualifications 2 years of project management experience Master's Degree Experience with military contracting Work at Home Requirements At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended 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 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 Description of Benefits Humana, Inc. and its affiliated subsidiaries 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. 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 protected veteran status. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion.
Contracting Executive
- Become a part of our caring community and help us put health first
The Contracting Executive will be responsible for setting VBC / APM contracting strategies within an assigned geographical region and executing upon said strategy. 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. May assist with identifying and recruiting providers based on network composition and needs.
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Provider Contracting • Frankfort, KY, US
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