Humana

About Humana

 

Job Category:

Market Strategy - Contracting

Country:

United States

Approximate Salary:

Not Specified

Position Type:

Full time

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Director, Provider Contracting - Orlando, FL

Humana - Altamonte, Florida

Posted: 07/4/2018

Description

The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Director, Provider Contracting requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

Responsibilities

The Contracting Director will lead and manage the development of Humana’s overall provider relationships within a geographic region. Drive strategic initiatives within the provider network and ensure that the alignment of departmental objectives is congruent with the overall business strategy.

  • Lead Provider Contracting within a region
  • Initiate and maintain productive long-term relationships with provider representatives, subscribers, hospitals, account managers and internal sales teams
  • Provide effective operations management, ensuring that all contracts are within required guidelines and financial parameters
  • Apply economic and strategic planning models to all endeavors in your region in order to align business, process, and operational principles with area-specific goals

               

Role Essentials

Bachelor’s Degree in Business, Finance or a related field; or a minimum of 10 years’ provider contracting experience
A minimum of 5 years’ progressive contracting experience
Solid leadership/management experience including supervisory and teambuilding
Strong financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena
Proven contract preparation skills, with an in-depth knowledge of Medicare and other reimbursement methodologies
Role Desirables

Master’s Degree in Business Administration or Finance
Value based contracting experience
 

Reporting Relationships

This position reports to a Regional Vice President.

Additional Information

Office base role with 30% travel within the regional

Scheduled Weekly Hours

40

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