Humana
Humana
Humana एक स्वास्थ्य सेवा और स्वास्थ्य बीमा कंपनी है, जो व्यक्तियों, समुदायों और व्यापक स्वास्थ्य सेवा प्रणाली के स्वास्थ्य परिणामों में सुधार लाने पर केंद्रित है। इसके कार्य में मेडिकेयर एडवांटेज HMO, PPO और PFFS योजनाएँ शामिल हैं, जो वरिष्ठ नागरिकों और सैन्य सदस्यों जैसी आबादियों की सेवा करती हैं। Humana एक समावेशी कार्यस्थल पर भी ज़ोर देती है, जहाँ अपनापन, पारस्परिक सम्मान और कर्मचारियों के लिए कंपनी के स्वास्थ्य-केंद्रित मिशन में योगदान देने के अवसर महत्वपूर्ण हैं।

Humana Provider Contracting Executive (Alabama Market)

Negotiate provider agreements and manage network relationships for Humana’s Alabama Market. The remote role covers provider contracting, reimbursement analysis, and network recruitment across the region.

विवरण

  • Negotiate and execute contracts with physicians, hospitals, and other providers for Humana’s Alabama Market.
  • Act as the primary contact for providers.
  • Explain contract terms, payment structures, and reimbursement rates to providers.
  • Assess the financial impact of contract terms.
  • Track contracts and related documentation in a records system.
  • Recruit providers to address network composition and needs.
  • Advise executives on functional strategies and significant issues.
  • Make decisions on complex matters independently, with minimal supervision.
  • Travel to providers within the region up to 20% of the time.

आवश्यकताएँ

  • At least five years of progressive network management and network administration experience in a healthcare company.
  • At least two years of project leadership experience.
  • Strong provider contracting skills, including negotiation, contract preparation and implementation, financial analysis, and rate proposal development.
  • Must live within the region.
  • Able and willing to travel to providers up to 20% of the time.
  • Home or hybrid home/office setup must provide at least 25 Mbps download and 10 Mbps upload speeds.
  • Work from a dedicated space without ongoing interruptions to protect member PHI and HIPAA information.
  • Bachelor’s degree preferred.
  • Experience with ACO or risk contracting preferred.
  • Experience with value-based contracting preferred.

लाभ

  • Bonus incentive plan based on company and/or individual performance.
  • Medical coverage.
  • Dental coverage.
  • Vision coverage.
  • 401(k) retirement savings plan.
  • Paid time off.
  • Company holidays.
  • Personal holidays.
  • Paid parental leave.
  • Paid caregiver leave.
  • Short-term disability coverage.
  • Long-term disability coverage.
  • Life insurance.
  • Home-based or hybrid home/office work arrangement.
  • Occasional travel to Humana offices for training or meetings.

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