Associate Director National Contracting Alabama

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Job Information

Humana

Associate Director, National Contracting Alabama

in

Jersey City

New Jersey

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