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Provider Contracting Executive

Provider Contracting Executive

Maine StaffingAugusta, ME, US
4 days ago
Job type
  • Temporary
Job description

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.

  • Key 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 to senior executives 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
  • Bachelors Degree
  • 5 years of experience with Value Based Contracting
  • 3 years of experience with provider contracting skills
  • Experience presenting to varied audiences
  • Preferred Qualifications
  • 2 years of project management experience
  • Masters Degree
  • Experience with military contracting
  • Work at Home Requirements
  • Minimum internet speed requirements
  • Internet connection types
  • Internet expense reimbursement for certain states
  • Provision of telephone equipment
  • Dedicated workspace requirement
  • Occasional travel to Humanas offices
  • Scheduled Weekly Hours
  • 40
  • Pay Range
  • $94,900 - $130,500 per year
  • Description of Benefits
  • Competitive benefits that support whole-person well-being.
  • About Us
  • Humana Inc. is committed to putting health first for our teammates, our customers and our company.
  • Equal Opportunity Employer
  • Humana does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion.
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    Provider Contracting • Augusta, ME, US

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