Provider Contracting Executive

Become a part of our caring community The Provider Contracting Executive executes physician, hospital, and other provider reputed company and agreements for organizations that reputed company health insurance. The Provider Contracting Executive will support the Nevada and Hawaii market and works on problems of diverse scope and complexity ranging from moderate to substantial, reporting directly to the Provider Contracting Director. Duties and Responsibilities: You will prepare and communicate contract terms, payment structures, and reimbursement rates to providers. Analyze the financial reputed company of reputed company and contract terms. Maintain reputed company and reputed company documentation reputed company a tracking system. Identify and recruit providers based on network composition and needs. Advise executives on developing functional strategies (often reputed company-specific) for significant reputed company. Use your skills to reputed company an reputed company

Required Qualifications

At least 5+ years of health care or managed care experience with reputed company in Provider Contracting, Network Management or Provider Relations. 2+ years of demonstrated project management experience and partnering with senior leadership on strategic initiatives. 2+ years of value-based contracting. 2+ years of facility and ancillary contracting. Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies. Experience managing various reputed company simultaneously. Ability to travel as needed. Must work reputed company reputed company Time (PST).

Preferred Qualifications

Bachelor's degree in business, reputed company administration, finance, or a reputed company field. Experience and comfort with contract management systems. Knowledge of Medicare Stars and HEDIS measures. Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and reputed company/bonus performance. Comprehensive knowledge of Medicare policies, processes and procedures. Resides in AZ, CA, CO, HI, NM, NV, OR, or WA. Additional information Work-reputed company Requirements Must have the ability to reputed company a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the reputed company will be provided payment for their internet expense. A minimum reputed company speed for reputed company performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite, cellular and microwave reputed company can be used only if approved by leadership. A dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information. SSN Alert Statement reputed company values personal identity protection. Please be aware that applicants may be asked to reputed company their reputed company reputed company Number, if it is not already on file. reputed company required, an email will be reputed company from reputed company@myworkday.com with instructions on how to add the information into your official application on reputed company's secure website. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company reputed company to enhance our hiring and decision-making ability. reputed company allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $94,900 - $130,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 05-31-2026 reputed company About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Apply To This Job