Provider Contracting Representative

Become a part of our caring community   The Provider Contracting Professional 2 initiates, negotiates, and executes ancillary contracts agreements (LTSS/HCBS) for an organization that provides health insurance. Your work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Communicate contract terms, payment structures, and reimbursement rates to providers. Analyze financial impact of contracts and terms. Maintain contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Follow established guidelines/procedures. Use your skills to make an impact   Required Qualifications Two (2) or more years of experience negotiating managed care contracts with physicians, hospitals and/or other healthcare provider contracts. One (1) or more years of experience in Long-Term Services and Supports (LTSS). Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to providers. Proficiency in MS Office applications.

Bachelor's degree. Experience with ACO/Risk Contracting. Experience with Value-based Contracting.

Workstyle: This is a remote position. Travel: Up to 10% as-needed travel is required for team engagement meetings, healthcare conferences and may include travel outside your state of residence. Typical Work Schedule: Monday – Friday; 8:00am – 5:00pm Eastern Time (ET) with some flexibility based on business needs. Work at Home Requirements: 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 required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.   Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.   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.   $65,000 - $88,600 per year   This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 11-23-2026 About us   About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health –