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

　　The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

　　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.

　　Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.

　　Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.

　　Follows established guidelines/procedures.

　　Use your skills to make an impact

　　Required Qualifications

　　Our Department of Defense Contract requires U.S. Citizenship

　　Successfully receive interim approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing)

　　Bachelor's degree or relevant provider contracting experience

　　HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico.

　　2 years of experience in negotiating managed care contracts with physician, hospital, ancillary and/or other provider contracts or provider contracting experience

　　Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to providers

　　Proficiency in MS Office applications

　　Excellent written and verbal communication skills

　　Ability to manage multiple priorities in a fast-paced environment

　　Detail oriented

　　Must be available to work an 8 hour shift Monday - Friday 8:00 am - 5:00 pm in the Eastern or Central Times Zone schedule - due to the needs of the business you may be required to be flexible with your work hours

　　Preferred Qualifications

　　Value Based Contracting knowledgeScheduled 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 decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$63,400 - $87,400 per yearThis 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 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.