Role: Contracting Manager Assignment: North Central Region Location: Regional Market Office (Chicago, IL; Minneapolis, MN; or Milwaukee, WI)
We’re looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise, and this value is reflected in our expectations for providing perfect service to our providers, consumers, employers, agents and others we work with. At Humana, Perfect Service® means getting the basics done right, delivering value and quality, and providing everyone with personalized attention and guidance. We want to engage with our members through every step of their journey to lifelong well-being. This includes meaningful direct consumer interaction and developing positive relationships with healthcare providers. Humana associates provide Perfect Service every day to our providers, members, employers, and colleagues. We’re looking for people who improve their own well-being by looking out for the best interests of others.
In alignment with this focus, we are launching a search focused on identifying three (3) operations managers who will be responsible for supporting Humana’s provider operations for value-based contracting for our North Central market, an 8 state region including IL, WI, MN, IA, NE, etc., covering over 400k total lives including 250,000 Medicare Advantage lives, 150,000 Commercial Group lives, and 10,000 Dual Demonstration lives.
The Contracting Manager is responsible to lead a team with the focus of providing contracting, operations and service support to our valued-based providers, business partners, and other internal and external stakeholders to meet our Perfect Service and Provider Experience mission across all products – Commercial, Medicare, Medicaid, and Dual Eligible.
Assignment Capsule The Contracting Manager will lead and manage a portion of the development of Humana’s overall provider relationships within a geographic market. 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 and operations oversight/accountability within a market * 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 * Provide effective operations management, ensuring that all contracts are administered, managed, and serviced within required guidelines including operational, financial, and data compliance 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 Key Competencies * Business and Financial Acumen, Acts Strategically, Collaborates, Lead Positively, Operations a plus, Human capital/management experience, understanding the technical aspects of contract operationalization
Role Essentials * Bachelor’s Degree in Business, Finance or a related field; or a minimum of 10 years’ provider contracting experience to include hospital contracting * A minimum of 5 years’ progressive contracting and operations experience in a leadership capacity for a national health plan * 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, Commercial, Medicaid, and other reimbursement methodologies and processes * 10% or more travel
Role Desirables * Master’s Degree in Business Administration or Finance * Experience with ACO/Risk Contracting * Value based contracting experience Reporting Relationships * This position reports to a Contracting Director. Additional Information * Humana is an organization with careers that change lives—including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you’re ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you. * If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
Title: Contracting Manager
Other Locations: US-Illinois-Chicago, US-WI-Waukesha
Requisition ID: 179181