Provider Contracting Professional

About the role

The Provider Contracting Professional supports the Senior Provider Contracting Professional in the negotiation, analysis, and maintenance of physician and other provider agreements for an organization delivering healthcare to the senior population. This role assists with contract management activities, provides analytical support, and ensures accurate documentation within established processes and guidelines.

Job Responsibilities

• Support the contracting team in drafting, reviewing, and processing provider contracts and amendments.
• Collaborate with market engagement, leadership, and legal teams to facilitate contract execution and resolve basic contract term revisions.
• Assist in communicating contract terms, payment structures, and reimbursement rates to IPA and ACO provider groups under the guidance of senior staff.
• Conduct initial financial analyses of contracts and terms; prepare summaries for senior review.
• Maintain contract files and documentation within the organization's tracking system, ensuring accuracy and compliance.
• Absorb and reach out to potential providers for network development based on current needs and network composition.
• Prepare reports and updates for contracting initiatives as requested.
• Manage assigned priorities and deadlines, escalating complex issues to senior team members.

Required Qualifications

• Minimum of two years' experience in provider contracting, network management, or a related healthcare field.
• Basic knowledge of managed care or value-based contracting.
• Understand contract terms and basic financial impact.

Other Qualifications

• Experience supporting ACO or IPA provider networks.
• Familiarity with contract tracking or management systems.

Pay and Benefits

The compensation range for this role is $65,000 - $88,600 per year. This job is eligible for a bonus incentive plan based on company and/or individual performance. Humana offers competitive benefits that support whole-person well-being, including medical, dental, and vision benefits, a 401(k) retirement savings plan, time off, short-term and long-term disability, life insurance, and many other opportunities.