Senior Provider Contracting Professional

Become a Part of Our Caring Community and Help Us Put Health First

The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and / or other provider contracts and agreements. The Senior Provider Contracting Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Senior Provider Contracting Professional 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. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Use Your Skills to Make an Impact

Required Qualifications

• Minimum of 3 years of progressive experience in network management, with a specific emphasis on advanced contracting for Primary Care Providers, Physician Groups, or Managed Service Organizations (MSOs) within the healthcare sector.
• Demonstrated expertise in negotiating Value-Based and managed care agreements with large physician organizations, particularly in support of Medicare and Medicaid Lines of Business contracting initiatives.
• Advanced ability to analyze, interpret, and clearly communicate the financial implications of contract terms, payment methodologies, and provider reimbursement structures.
• Exceptional written and verbal communication skills, supporting effective collaboration and negotiation with internal and external stakeholders.
• Proven capacity to successfully manage multiple, concurrent priorities in a dynamic, fast-paced environment.
• Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, Outlook) to support contract analysis, presentations, and documentation.
• Must live in the State of Florida, with the ability and willingness to travel within the state up to 25% of the time as required for provider engagement and contracting activities.

Preferred Qualifications

Additional Information

This role is considered "remote / work at home", however, you must reside in the State of Florida to be considered for this opportunity.

Work at Home Information

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 :

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. $78,400 - $107,800 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

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. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.