As a Physician Contractor you will prioritize network needs both quantitatively and qualitatively, strategically approach the hospital provider community, and negotiate contracts that are favorable to Humana’s business. You will also ensure a competitive network, helping to facilitate the sales force’s ability to penetrate new business opportunities.
Negotiate and re-negotiate high-volume, transactional-style physician contracts
Function as the single point-of-contact for all on-going contractual and service issues as needed by providers
Facilitate provider education, training them in order to increase their familiarity and satisfaction with Humana’s systems and strategies
Create trend analyses and summaries for decision-making purposes
Interface with market leaders to align contracting needs and business efforts
Set targets and priorities in order to meet national and market-specific network needs.
Builds Trust: You honor your word by doing what you say you are going to do.
Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
Innovate: You introduce new ideas and processes which improve performance and productivity.
Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.
Bachelor’s Degree in Business, Finance or a related field; or a minimum of 2 years' healthcare industry experience
Proficiency in analyzing, understanding and communicating financial trends
Excellent written and verbal communication skills
Ability to manage multiple priorities in a fast-paced environment
Experience with Microsoft Office and other business applications
A valid Driver's license and an automobile are required for this role
Master’s Degree in Business Administration or a related field
Experience in managed care contracting and/or provider relations
You will report to a Director of Contracting
Contracting and Provider Relations
Work Environment Type
Yes, 15 % of the Time
Humana Inc. (Humana) is a full-service benefits solutions company, offering an array of health and supplemental benefit plans for employer...