Associate Director Provider Contracting

Profile

Job Information
Humana
Associate Director, Provider Contracting
in
Dublin
Ohio
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. Assists with identifying and recruiting providers based on network composition and needs to fill any identified network gaps. Decisions are typically related to identifying and resolving complex technical and operational problems within department(s), and could lead multiple managers or highly specialized professional associates.
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, Commercial, Medicaid 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
We will require full COVID vaccination (**** for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.
If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. Requests for these exemptions should be submitted at least 2 week prior to your scheduled first day of work.
Preferred Qualifications
Master's Degree
2 or more years of management experience including supervising and team building preferred.
Experience with ACO/Risk Contracting
Additional Information
This position is remote/work at home, however, you must live within the region (Kentucky/Ohio) to be considered for this role.
Work at Home/Remote Requirements Must ensure designated work area is free from distractions during work hours and virtual meetings Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required
Scheduled Weekly Hours
40

Company info

Sign Up Now - ManagerCrossing.com