DescriptionThe 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.
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
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
Master’s Degree in Business Administration or Finance
Value based contracting experience
This position reports to a Regional Vice President.
Office base role with 30% travel within the regional
Scheduled Weekly Hours40