Remote Otter LogoRemoteOtter

Manager, Provider Contracting - Remote

Posted 2 days ago
Finance / Legal
Full Time
FL, USA
$94,900 - $130,500/year

Overview

The Manager, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements while overseeing a team responsible for Direct Agreements.

In Short

  • Initiates and negotiates provider contracts.
  • Oversees a team of Provider Contracting Professionals.
  • Analyzes financial impact of contracts and terms.
  • Communicates contract terms and payment structures to providers.
  • Maintains contracts and documentation within a tracking system.
  • Requires cross-departmental collaboration.
  • Conducts briefings and area meetings.
  • Must live within Florida.
  • Occasional travel to Humana's offices may be required.
  • Full-time position with a 40-hour work week.

Requirements

  • 5+ years of progressive contracting experience.
  • 2+ years of experience in a leadership role.
  • Strong financial acumen and analytical skills.
  • Proven contract preparation skills.
  • Excellent written and verbal communication skills.
  • Ability to manage multiple priorities.
  • Knowledge of Microsoft Office applications.
  • Bachelor's Degree preferred.
  • Experience with ACO/Risk Contracting is a plus.
  • Value-based contracting experience preferred.

Benefits

  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Paid time off and holidays.
  • Short-term and long-term disability.
  • Life insurance.
  • Opportunities for personal wellness support.
  • Bonus incentive plan based on performance.
  • Support for home office setup.
  • Work-life balance initiatives.
  • Equal Opportunity Employer commitment.

Humana

Humana

Humana Inc. is a leading health insurance company committed to putting health first for its teammates, customers, and the communities it serves. Through its insurance services and healthcare offerings, Humana aims to simplify access to care and improve the quality of life for millions, including individuals with Medicare and Medicaid, families, and military personnel. The company emphasizes a culture of continuous improvement in consumer experiences and offers a comprehensive range of benefits to support the well-being of its associates.

Share This Job!

Save This Job!

Similar Jobs:

M.T.A

Provider Contracts Manager - Remote

Molina Talent Acquisition

41 weeks ago

The Provider Contracts Manager negotiates and manages contracts with healthcare providers to ensure quality and cost-effective services.

United States
Full-time
Sales / Business

M.T.A

Provider Network Contracting Manager - Remote

Molina Talent Acquisition

39 weeks ago

The Provider Network Contracting Manager leads the contracting functions for Molina Health Plan, focusing on provider negotiations and network strategy.

NV, USA
Full-time
Sales / Business

M.T.A

Value Based Provider Contracting Manager - Remote

Molina Talent Acquisition

33 weeks ago

Molina Healthcare is seeking a Value Based Provider Contracting Manager to oversee provider network strategies and contract negotiations.

USA
Full-time
Sales / Business
OSH-RI logo

Provider Network Contracting Senior Manager - Remote

OSH-RI

29 weeks ago

The Provider Network Contracting Senior Manager is responsible for negotiating contracts and enhancing provider networks to meet healthcare goals.

USA
Full-time
Sales / Business
$67,900.00 - $182,549.00/year
Wellmark logo

Provider Network Contract Manager - Remote

Wellmark

9 weeks ago

Join Wellmark as a Provider Network Contract Manager to lead health care network contracting strategies and build relationships with providers.

IA, USA
Full-time
Sales / Business