Director, Provider Contracting

CarePlus Health Plans Inc

Washington, US
Base: $138,900 - $191,000 py; bonus/equity: eligib...
Hybrid
Provider contract negotiation
Physician and hospital agreements
Network development and management
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 leading a team of contracting executives and professionals across a 3-state territory.
  • Humana offers competitive benefits designed to encourage personal wellness and smart healthcare decisions, 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
  • Network development and management
  • Medicare reimbursement methodologies
  • Financial impact analysis of contracts

Nice-to-have

  • Value-based contracting experience
  • ACO/Risk contracting expertise
  • Whole-person well-being focus
  • Positive individual and population changes

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

Cover Letter