Director, Provider Contracting

Humana

Washington, US
Base: $138,900 - $191,000 py; bonus/equity: eligib...
Hybrid
Provider contract negotiation
Physician and hospital agreements
Develop quality provider network
The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements to develop and maintain a quality network for Humana members

Job Summary

  • The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements to develop and maintain a quality network for Humana members.
  • Responsibilities include communicating contract terms, analyzing financial impact, maintaining contracts, and implementing strategic plans to improve performance.
  • Humana offers competitive benefits that support whole-person well-being, including medical, dental, vision, 401(k), and various paid time off options.

Matching Summary

The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements to develop and maintain a quality network for Humana members.

Salary

Base: $138,900 - $191,000 per year; Bonus/Equity: Eligible for bonus incentive plan; Benefits: Medical, dental, vision, 401(k), time off, disability, life insurance

Skills & Requirements

Must-have

  • Provider contract negotiation
  • Physician and hospital agreements
  • Develop quality provider network
  • Analyze financial impact of contracts
  • Medicare reimbursement methodologies

Nice-to-have

  • Whole-person well-being focus
  • Stimulate positive individual changes
  • Nurture sense of security
  • Lead contracting professionals

Key Requirements

  • Bachelor's Degree
  • 8 years healthcare/health insurance experience
  • 4 years provider contracting experience
  • 4 years leadership experience
  • Proven contract preparation skills
  • Strong financial acumen

Work Rights

Not specified

Tailored Resume

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