Home
/
Comprehensive
/
Provider Contracting Executive
Provider Contracting Executive-April 2024
Des Moines
Apr 18, 2026
ABOUT HUMANA
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized whole-person healthcare experiences.
10,000+ employees
Healthcare
VIEW COMPANY PROFILE >>
About Provider Contracting Executive

  Become a part of our caring community and help us put health first

  The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance.

  The Provider Contracting Executive communicates and strategizes internally and externally contract terms, payment structures, and reimbursement rates to providers.

  Typical Role Responsibilities, but not limited to:

  Analyze financial impact of contracts and terms.

  Maintain contracts and documentation within a tracking system.

  Assist in identifying and recruiting providers based on network composition and needs.

  Advise executives to develop functional strategies (often segment specific) on matters of significance.

  Use your skills to make an impact

  Required Qualifications

  8+ years of progressive network management experience including hospital contracting and network administration in a healthcare company.

  2+ years of project management experience

  Provider contracting experience, including contract preparation, negotiation and implementation, financial analysis and rate proposal development.

  Ability to travel within a designated area up to 20% of the time (more information listed within additional information section).

  Preferred Qualifications

  Bachelor's Degree

  Experience contracting with large hospital systems

  Experience with ACO/Risk Contracting

  Experience with Value Based Contracting

  Minnesota market experience (live within region, preferred MN or surrounding area)

  Additional Information

  Location: reside in Minnesota is preferred; other location considerations: N. or S. Dakotas, Wisconsin, Illinois, Nebraska, Iowa, Kansas or Missouri; travel up to 20% or based upon business need

  Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana's secure website.As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your scheduleTo 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 recommended; wireless, wired cable or DSL connection is suggested

  Satellite, cellular and microwave connection can be used only if approved by leadership

  Employees 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 employees 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

  Scheduled Weekly Hours

  40

  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 because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

  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. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
Cashier - Service Associate PT - JR025818
*Service Associate* Contribute to our mission to improve Health and Wellness in your community. Become a Rite Aid Service Associate, today! As a Service Associate, you are responsible for the day-to-
Aveanna Healthcare Private Duty Nurse RN
Aveanna Healthcare Private Duty Nurse RN Job Ref: 191633 Location: El Paso, TX 79901 Category: Nursing Line of Business: PDS Pay Rate: Starting at $36.00 per hour ApplyRefer a FriendBack Find yoursel
Team Member
Pay Range: $15.00-$16.00 plus tips Cadete Enterprises is currently hiring for a Team Member to join our Dunkin’ Franchise! We’ll let you in on a little secret... While everyone knows that America Run
Production Associate
Hiring immediately! We are looking for Production Associates to join our team in the Tremonton area! The ideal candidate has great attention to detail and previous experience in manufacturing. Respon
RN Registered Nurse Coordinator - Urology
Details Sign-on bonus: Up to $7,500.00 Department: Operating Room, Surgery Schedule: 40 hours per week, Rotating shift, Monday - Friday Hospital: Acension St John Hospital Location: Detroit, MI Benef
Pharmacy Technician
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced
Licensed Vocational Nurse- PM Shifts Needed
Licensed Vocational Nurse (LVN) PM Shifts Needed Job Ref: 191226 Location: Los Angeles, CA 90001 Category: LPN/LVN Line of Business: PDS Pay Rate: $27.00 - $35.00 per hour ApplyRefer a FriendBack Fin
Test Technician II
Benchmark provides comprehensive solutions across the entire product lifecycle; leading through its innovative technology and engineering design services, leveraging its optimized global supply chain
Process Technician
Additional $4.00/hr shift incentive when working the 12 hour Rotating Dupont Shift Schedule!! Entry Level $22.12 with Training and Progression to $34.49 (plus $4.00 extra per hour while on Rotating 1
4634 - Sharpening - Machinist I
Machinist - Sharpening Gleason Cutting Tools Corporation, 1351 Windsor Road, Loves Park, Illinois, United States of America Req #757 Monday, February 19, 2024 About Gleason With more than 2,200 emplo
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved