Humana

About Humana

 

Job Category:

Market Strategy - Contracting

Country:

United States

Postal Code:

33601

Approximate Salary:

Not Specified

Position Type:

Full Time

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Manager, Provider Contracting

Humana - Tampa, Florida

Posted: 11/19/2018

Description

The Manager, Provider Contracting initiates, negotiates, and executes physician and/or other provider contracts and agreements for an organization that provides health insurance. The Manager, Provider Contracting works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.

Responsibilities

The Manager, Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and terms. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department.

               

Required Qualifications

  • 3-4 years of progressive contracting experience
  • 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, Medicaid, commercial products and other reimbursement methodologies
  • Excellent written and verbal communication skills and experience presenting to varied audiences
  • Ability to manage multiple priorities in a fast-paced environment
  • Knowledge of Microsoft Office applications

Preferred Qualifications

  • Bachelor's Degree preferred
  • 2+ years of management experience including supervising and team building preferred
  • Experience with ACO/Risk Contracting
  • Value based contracting experience
  • Strong project management skills

Additional Information

Will work 3 days per week in the Tampa office  with 2 days in the field/WAH.  Will lead a team of 8 professionals.

Scheduled Weekly Hours

40

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