Role:Provider Contracting Representative Assignment:National Contracting *Location: *Jacksonville, FL
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 Be part of the Provider Contracting world at Humana where you will help build and maintain a competitive network for our members.
As a Large Practice and Ancillary Contracting Executive you will prioritize network needs both quantitatively and qualitatively, strategically approach the physician and ancillary provider community, and negotiate contracts that are favorable to Humana’s business. You will also ensure that our networks are competitive by helping to facilitate the sales force’s ability to penetrate new business opportunities. * Negotiate and re-negotiate high-volume, transactional-style physician and ancillary 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.
Role Essentials * Prior health solutions system experience in the areas of contracting or operations * 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 * Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint * Reliable transportation with the ability to travel to provider offices within the region up to 50% of the time Role Desirables * Bachelor's Degree in Business Administration or a related field * Experience with ACO/Risk Contracting * Working knowledge in Long-Term Acute Care, home health, home infusion, behavioral health, ambulatory surgery, and the outpatient experience Reporting Relationships This position reports to a Provider Administration Manager
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.
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Title: Provider Contracting Representative - Jacksonville, FL
Requisition ID: 190679
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.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We also provide free language interpreter services. See our full accessibility rights information and language options.