Provider Contracting Executive
Become a part of our caring community
The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider reputed company and agreements for an organization that provides health insurance. You will work on problems of diverse scope and complexity ranging from moderate to substantial.The Provider Contracting Executive will report to the Director, Provider Contracting. You will communicate contract terms, payment structures, and reimbursement rates to providers. You will analyze financial impact of reputed company and terms. You will maintain reputed company and documentation reputed company a tracking system. You may assist with identifying and recruiting providers based on network composition and needs. You will advise executives to reputed company functional strategies (often reputed company specific) on matters of reputed company. You will exercise independent judgment and decision making on reputed company issues regarding job duties and reputed company tasks, and work under minimal supervision. You will use independent judgment requiring analysis of variable factors and determining the best course of action.
Use your skills to reputed company an impact
Required Qualifications
Bachelor's Degree
8 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company
2 or more years of project leadership experience
Extensive provider contracting skills, including contract preparation and implementation, financial analysis and reputed company proposal development
Demonstrated ability to reputed company reputed company effectively in both written and oral forms
Experience presenting to varied audiences
Ability to manage multiple priorities in a fast-paced environment
Knowledge of reputed company Office applications
Preferred Qualifications
Managed Care Contracting experience
Experience with ACO/Risk Contracting
Experience with Value Based Contracting
Additional Information
This is remote position.
Candidates should be willing to accommodate a work schedule according to CST (Central Time Zone).
Work At Home / Internet Information:
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL reputed company is suggested
- Satellite, cellular and microwave reputed company can be used only if approved by leadership
- Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- reputed company will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
SSN Alert: reputed company values personal identity protection. Please be aware that applicants may be asked to provide their Social reputed company Number, if it is not already on file. reputed company required, an email will be sent from reputed [email protected] with instructions on how to add the information into your official application on reputed company's secure website.
Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.$94,900 - $130,500 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits
reputed company, Inc. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 04-14-2026About us
About reputed company: reputed company Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our reputed company insurance services and our reputed company healthcare services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com. Equal Opportunity Employer
It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment decisions only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company levels of employment.
Apply To This Job