Senior Provider Contracting Professional - Behavioral Health/Medicaid

Become a part of our caring community   The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Senior Provider Contracting Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to providers. Provides a comprehensive hospital network to consumers in the behavioral health arena and executes on Humana's consumer-focused business strategy. The Senior Provider Contracting Professional will negotiate with a variety of provider constituencies and provide continual re-prioritization of corporate and consumer needs. Analyzes financial impact of contracts and terms. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Exercises considerable latitude in determining objectives and approaches to assignments.  In this role you will: Negotiate hospital and ancillary contracts at market competitive pricing Initiate and maintain productive long-term relationships with key hospital and group practice administrators and members Communicate proactively with other departments in order to ensure effective and efficient business results Handle services, levels of care, and pricing on the behavioral health network side Subject matter expert on the assigned region/behavioral health network Manage large accounts and/or provider relations Be comfortable with C-suite interactions, both internally and externally Use your skills to make an impact   Required Qualifications 3-4 years of progressive network management experience including hospital contracting and network administration in a healthcare company or healthcare system Medicaid behavioral health contracting experience, to include contract negotiation Medicaid provider relations experience Experienced in negotiating managed care contracts with large physician groups, ancillary providers, and hospital systems Proficiency in analyzing, understanding, and communicating the financial impact of contract terms, payment structures, and reimbursement rates to providers Role Desirables Bachelor's Degree Experience with ACO/Risk Contracting  Experience with Value Based Contracting Additional Information This role is "remote/work at home" and can be based anywhere in the United States, however, preference will be given to candidates that are located in the Eastern or Central Time Zone. 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.   $78,400 - $107,800 per year   This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company