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Humana Inc.

Provider Contractor

Humana Inc. - Tampa, FL

Provider Contractor','185602','US-FL-Tampa','US-Texas-San Antonio, US-FL-Tampa, US-Texas-Irving, US-FL-Miramar','Office, Virtual/Work At Home','Office, Virtual/Work At Home','Full-time','Yes, 25 % of the Time','!*!Role: Provider Contractor

Assignment: Humana Behavioral Health

Location: Tampa, Miramar or WAH Florida, Dallas office or WAH Texas

We’re looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise, and this value is reflected in our expectations for providing perfect service to our providers, consumers, employers, agents and others we work with. At Humana, Perfect Service® means getting the basics done right, delivering value and quality, and providing everyone with personalized attention and guidance. We want to engage with our members through every step of their journey to lifelong well-being. This includes meaningful direct consumer interaction and developing positive relationships with healthcare providers. Humana associates provide Perfect Service every day to our providers, members, employers, and colleagues. We’re looking for people who improve their own well-being by looking out for the best interests of others.

Assignment Capsule

The Contractor engages in strategic negotiation and relationship-building with a variety of provider constituencies across all product lines including Medicare, Medicaid and commercial.  The Contractor primarily focuses on Fee For Service (FFS) arrangements.

Negotiates and renegotiates provider contracts that are financially favorable to Humana’s business, including reaching settlement arrangements

Delivers a contract that can be operationalized, and maintained.

Collaborates with Contract Specialists to ensure smooth transition from Contracting through Administration

Ensure that our networks are competitive within the industry by helping facilitate Sales’ ability to penetrate new business opportunities.

Initiate and maintain productive long-term relationships with market leaders, key providers and practice administrators

Create and maintain operations and strategic relationships for specialists, hospitals and IDSs.

Educate non-PCPs about Humana’s ever-expanding portfolio of products and services, ensuring continually updated knowledge about the company’s offerings

Key Competencies

Interpersonal Effectiveness: Understands oneself, effectively manages emotions, listens and communicates with respect, and builds trusting relationships.

Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints.

Accountability: Meets established expectations and takes responsibility for achieving results; encourages others to do the same.

Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions.','!*!Role Essentials

High school diploma or equivalent required

Proficiency in analyzing, understanding and communicating financial trends

Excellent written and verbal communication skills

Experience presenting to varied audiences

Ability to manage multiple priorities in a fast-paced environment

Proficiency in MS Office applications

Valid driver’s license and/or dependable transportation necessary

Role Desirables

Bachelor’s or Master’s Degree in Business, Finance or a related field

Experience in managed care contracting and/or provider relations

Provider contracting experience

Reporting Relationships

This position reports to a Director of Contracting.

Additional Information

Humana is an organization with careers that change lives—including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you’re ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.

Apply now, or join our Talent Network so you can stay informed and up to date on what’s happening at Humana.','Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.','Provider Contractor

40 days 4 hours ago

Humana Inc.

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Provider Contractor Humana Inc. - Tampa, FL, United States

   

Location: Tampa, FL

Company Profile:
Humana's diverse lines of business work to serve all types of consumers. From families to seniors to military members to self-employed individuals, there is a plan to meet many unique needs. Find out how Humana's associates and corporate leaders are committed to customer service. Our team uses innovation to deliver results to our consumers.