Home
/
Comprehensive
/
Provider Contracting Executive
Provider Contracting Executive-June 2024
Springfield
Jun 16, 2025
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
AI Research Scientist - Computer Vision (Technical Leadership)
Summary: Meta is seeking exceptional AI Research Scientists to join our AI organization. Individuals in this role are expected to be recognized experts in areas such as artificial intelligence, machi
Solution Architect
Contract type: Full Time, Permanent  Location: Brighton, (80% remote working) Join our team as a Solution Architect, where you will collaborate closely with senior stakeholders to identify and design
Retail Associate
Our values start with our people, join a team that values you! We are the nation’s largest off-price retailer with over 2,000 stores, and a strong track record of success and growth. Our focus has al
Medical Lab Technician
At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and ope
Clinical Rsch Fellow 0 - Critical Care - Faisal Masud
At Houston Methodist, the Clinical Research Fellow position is responsible for performing clinical research of a complex nature; plans, executes and completes clinical research projects under the sup
Civil Engineer - Stuart, FL
Civil Engineer - (Martin County), Stuart, FL KEITH is seeking a Civil Engineer in Stuart, FL to strengthen our growing firm. We are looking for positive individuals to fit our energetic culture. Know
Nurse Practitioner
Sign-on Bonus:  $5,000 sign-on bonus for full-time Nurse Practitioners through March 31, 2024. You will be awarded this bonus on the first paycheck after you celebrate 120 days of employment.  Positi
Cheese Packager
JOB REQUIREMENTS: Job Type:Regular Invest in you, Join Agropur. We dairyyou! Text key word \Agropur\ to 608-564-5884 and then text JR12914 toapply today! How Agropur invests in YOU: Competitive and c
Senior Director, Oncology Translational Research - Multiple Myeloma
Senior Director, Oncology Translational Research - Multiple Myeloma - 2406160203W Description Janssen Research & Development, L.L.C., a division of Johnson & Johnson's Family of Companies is
Principal Product Manager - Technical
About the job The Red Hat Developers Business Unit is seekingan experienced product manager to drive the growth of Red Hat Developer Hub (IDP based on backstage.io), an enterprise-grade, open develop
Copyright 2023-2025 - www.zdrecruit.com All Rights Reserved