Humana Provider Contractor in Denver, Colorado

Role:Provider Contractor Assignment: Contracting and Negotiations Location:Denver CO

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.

Assignment Capsule The Contractor engages in strategic negotiation and relationship-building with a variety of provider constituencies across all product lines including Medicare, Medicaid and commercial. The Contractor primarily focuses on Fee For Service (FFS) arrangements.

  • Negotiates and renegotiates provider contracts that are financially favorable to Humana’s business, including reaching settlement arrangements

  • Delivers a contract that can be operationalized, and maintained.

  • Collaborates with Contract Specialists to ensure smooth transition from Contracting through Administration

  • Ensure that our networks are competitive within the industry by helping facilitate Sales’ ability to penetrate new business opportunities.

  • Initiate and maintain productive long-term relationships with market leaders, key providers and practice administrators

  • Create and maintain operations and strategic relationships for specialists, hospitals and IDSs.

  • Educate non-PCPs about Humana’s ever-expanding portfolio of products and services, ensuring continually updated knowledge about the company’s offerings

    Key Competencies

  • Interpersonal Effectiveness : Understands oneself, effectively manages emotions, listens and communicates with respect, and builds trusting relationships.

  • Executes for Results : Effectively leverages resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints.

  • Accountability : Meets established expectations and takes responsibility for achieving results; encourages others to do the same.

  • Builds Trust : Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions.

    Role Essentials

  • Bachelors Degree

  • 3 years experience in managed care contracting

  • 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

  • Proficiency in MS Office applications

  • Valid driver’s license and/or dependable transportation necessary

    Role Desirables

  • Bachelor’s or Master’s Degree in Business, Finance or a related field

  • ACO/Risk 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.

    Internal Only: Additional Information 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: Provider Contractor

Location: Colorado-Denver

Requisition ID: 174227

Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.