Humana

About Humana

 

Job Category:

Market Strategy - Contracting

Country:

United States

Postal Code:

40201

Approximate Salary:

Not Specified

Position Type:

Full Time

National Dental Contracting Professional

Humana - Louisville, Kentucky

Posted: 11/19/2018

Description

The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

Humana is seeking a National Dental Contractor to build strategic and collaborative partnerships with physicians and negotiate contracts that are favorable to Humana’s business. You will also ensure a competitive network and help facilitate the sales force’s ability to penetrate new business opportunities. 

Negotiate and re-negotiate high-volume, transactional-style physician contracts 
Function as the single point-of-contact for all on-going contractual and service issues as needed by providers 
Facilitate provider education, training them in order to increase their familiarity and satisfaction with Humana’s systems and strategies 
Create trend analyses and summaries for decision-making purposes 
Interface with market leaders to align contracting needs and business efforts 
Set targets and priorities in order to meet national and market-specific network needs. 

               

Required Qualifications

  • Bachelor’s Degree in Business, Finance or a related field; or a minimum of 2 years’ relevant business experience in contracting
  • Experience in managed care contracting and/or provider relations  
  • Proficiency in analyzing, understanding and communicating financial trends 
  • Excellent written and verbal communication skills 
  • Experience presenting to varied audiences 
  • Ability to manage multiple priorities in a fast-paced environment 
  • Knowledge of Microsoft Office applications
  • Driver’s license and vehicle are required 

Preferred Qualifications

  • Master's Degree

Scheduled Weekly Hours

40

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