Company name
Humana Inc.
Location
Bethesda, MD, United States
Employment Type
Full-Time
Industry
Manager
Posted on
Jun 18, 2021
Profile
Job Information
Humana
Associate Director, National Contracting Alabama
in
Bethesda
Maryland
Description
The Associate Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Associate Director, Provider Contracting requires a solid understanding of how organization capabilities interrelate across department(s).
Responsibilities
The Associate Director, 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 identifying and resolving complex technical and operational problems within department(s), and will lead a team of 5 direct reports.
Required Qualifications
Bachelor's Degree
5 or more years of progressive contracting experience for a national health plan including hospital contracting
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
Experience with Value based contracting
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
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Ability and willingness to travel within the region, as required
Preferred Qualifications
Master's Degree
2 or more years of management experience including supervising and team building
Experience with ACO/Risk Contracting
Additional Information
Strong preference for this candidate to live in Alabama or be willing to relocate to Alabama.
Scheduled Weekly Hours
40
Company info
Humana Inc.
Website : http://www.humana.com