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Job Details for Provider Contracting Executive

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Job Order Number: DE8980832
Job Title: Provider Contracting Executive
Company: Humana
Location: Trenton, NJ
Salary: 
Education: Less Than High School
Experience: None
Hours: 
Duration: Full Time, Regular
Shift: 
Description: **Become a part of our caring community and help us put health first**The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to substantial.The Provider Contracting Executive 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. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action.**Use your skills to make 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 rate proposal development+ Knowledge of Microsoft Office applications+ Excellent written and verbal communication skills and experience presenting to varied audiences+ Ability to manage multiple priorities in a fast-paced environment+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences**Preferred Qualifications**+ Master's Degree+ Experience with ACO/Risk Contracting+ Experience with Value Based Contracting**Additional Information**As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.**Work At Home / Internet Statement:**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 connection is suggested+ Satellite, cellular and microwave connection 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.+ Humana 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:** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.**Scheduled Weekly Hours**40**Pay Range**The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$93,000 - $128,000 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based
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  • Visit the "Apply Online" web site in the Contact Information section below.
Additional Notes:
Please reference the Job Order Number and Job Title included above.
To apply you must be a U.S Citizen or an individual authorized to work in the United States.
Contact Information:
Company:  Humana
Contact: 
Address: 
Phone: 
Fax: 
Email: 
Apply Online:  https://nlx.jobsyn.org/3a197db9b02949f5b9d535d13bae4b52159
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