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Humana este o companie de servicii medicale și asigurări de sănătate axată pe îmbunătățirea rezultatelor în materie de sănătate pentru persoane, comunități și sistemul de sănătate în ansamblu. Activitatea sa include planuri Medicare Advantage de tip HMO, PPO și PFFS, destinate unor categorii de populație precum persoanele vârstnice și membrii forțelor armate. Humana pune, de asemenea, accent pe un mediu de lucru incluziv, construit pe sentimentul de apartenență, respect reciproc și oportunități pentru angajați de a contribui la misiunea companiei axată pe sănătate.
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.
Descriere
- 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.
Cerințe
- 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.
Beneficii
- 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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