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Associate Director, Provider Contracting

Humana Inc.

This is a Full-time position in Kansas City, MO posted May 3, 2021.

Associate Director, Provider Contracting

The Associate Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance.

The Associate Director, Provider Contracting requires a solid understanding of how organization capabilities interrelate across department(s).

The Associate Director, Provider Contracting 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.

Decisions are typically related to identifying and resolving complex technical and operational problems within department(s), and could lead multiple managers or highly specialized professional associates.

Required Qualifications
Bachelor’s Degree 6 or more years of progressive contracting experience for a national health plan including hospital contracting 2 or more years of management experience including supervising and team building Strong financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena Proven contract preparation skills, with an in-depth knowledge of Medicare and other reimbursement methodologies Excellent written and verbal communication skills and experience presenting to varied audiences Ability to manage multiple priorities in a fast-paced environment Knowledge of Microsoft Office applications Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Master’s Degree Experience with ACO/Risk Contracting Value based contracting experience
Additional Information

This is a leadership role with responsibility for 6 direct reports.

This role is remote/work at home, however, you must live within the region (KS/MO/AR/OK)

Scheduled Weekly Hours

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