Provider Contracting Executive

CarePlus Health Plans Inc

Base: $94,900 - $130,500 py; bonus: eligible for i...
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8+ years network management experience
Hospital contracting and network administration
Financial analysis and rate proposal development
** CarePlus Health Plans Inc is seeking a Provider Contracting Executive to negotiate and manage contracts with healthcare providers. The ideal candidate should have extensive experience in network management and provider contracting, with a strong understanding of healthcare reimbursement structures. **

Job Summary

  • The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and other provider contracts for a health insurance organization.
  • Humana offers competitive benefits including medical, dental, vision, 401(k) retirement savings, and paid time off to support whole-person well-being.
  • This remote position requires a dedicated workspace and specific internet speeds to ensure effective work and protection of member PHI/HIPAA information.

Matching Summary

Match Score: 75

** CarePlus Health Plans Inc is seeking a Provider Contracting Executive to negotiate and manage contracts with healthcare providers. The ideal candidate should have extensive experience in network management and provider contracting, with a strong understanding of healthcare reimbursement structures. **

Salary

Base: $94,900 - $130,500 per year; Bonus: Eligible for incentive plan based on performance; Benefits: Medical, dental, vision, 401(k), PTO, disability, life insurance

Skills & Requirements

Must-have

  • 8+ years network management experience
  • Hospital contracting and network administration
  • Financial analysis and rate proposal development
  • Knowledge of healthcare reimbursement structures
  • Microsoft Office proficiency

Nice-to-have

  • Master's degree preferred
  • Experience with ACO/Risk Contracting
  • Value Based Contracting experience
  • Project leadership experience
  • Strong presentation skills to varied audiences

Key Requirements

  • Bachelor's degree required
  • 8 or more years progressive network management experience
  • Extensive provider contracting skills
  • Excellent written and verbal communication skills

Work Rights

Not specified

Tailored Resume

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