Hospital Contracting Executive - Remote FL

Company: Humana
Location: Denver
Posted on: June 25, 2022

Job Description:

R-280339DescriptionThe Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to substantial. For this role, we are looking for someone with a strong work ethic, someone who takes ownership and responsibility, and is a true team player who is curious and able to successfully function in a highly matrix environment. You will quarterback other teammates who are not direct reports to complete projects.ResponsibilitiesThe Hospital Contracting Executive negotiates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and terms. Maintains contracts and documentation within a tracking system. Identifies and recruits providers based on network composition and needs. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.Benefits IncludeIn addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment.

• Medical Benefits
• Dental Benefits
• Vision Benefits
• Health Savings Accounts
• Flex Spending Accounts
• Life Insurance
• 401(k)
• PTO including 7 paid holidays, two personal holidays, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
• And moreRequired Qualifications
  • 5 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company
  • 2 or more years of project leadership experience
  • Extensive provider contracting skills, including contract preparation and implementation, financial analysis and rate proposal development
  • Excellent written and verbal communication skills and experience presenting to varied audiences
  • Ability to manage multiple priorities in a fast-paced environment
  • Knowledge of Microsoft Office applications
  • Ability and willingness to travel within the region up to 30% of the timePreferred Qualifications
    • Bachelor's Degree
    • Experience with ACO/Risk Contracting
    • Experience with Value Based ContractingAdditional InformationThis role is considered "work at home/remote", however, preference will be given to candidates in the Central/North Florida region.
      • WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
      • A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
      • Satellite and Wireless Internet service is NOT allowed for this role.
      • A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA informationHumana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of COVID-19 vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.Scheduled Weekly Hours40

Keywords: Humana, Denver , Hospital Contracting Executive - Remote FL, Healthcare , Denver, Colorado