Regional Network Director managing vendor relationships in the mortgage services sector. Overseeing performance management and resolving escalated issues within a defined territory.
About the role
- Director of Provider Contracting at Humana negotiating physician and provider contracts for health services. Leading strategic planning and improving performance in health insurance sector.
Responsibilities
- initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements
- 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
- assists with identifying and recruiting providers based on network composition and needs
- implements strategic plans, drives goals and objectives, and improves performance.
- provides input into functions strategy
Requirements
- Bachelor's Degree
- 2+ years of extensive provider contracting experience inclusive of all provider types
- Proven leadership experience, including teambuilding
- Comfortable with hiring and building teams
- Proven contract preparation skills, with an in-depth knowledge of Medicare, Medicaid, and other reimbursement methodologies
- Strong financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
Benefits
- 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
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