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Provider Contracting Professional 2

Expired Job

Humana Inc. Fort Myers , FL 33912

Posted 5 months ago

Description

The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Provider Contracting Professional 2 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. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Required Qualifications

  • 2-5 years of experience in negotiating managed care contracts

  • Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to providers.

  • Excellent written and verbal communication skills

  • Ability to manage multiple priorities in a fast-paced environment

  • Proficiency in MS Office applications

  • Reliable transportation with the ability to travel within the assigned region up to 50% of the time

Preferred Qualifications

  • Bachelor's Degree

  • Contracting experience with ancillary type providers, inclusive of skilled nursing facilities, radiology and therapy

Scheduled Weekly Hours
40


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Provider Contracting Professional 2

Expired Job

Humana Inc.