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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in provider contracting, including negotiation and financial analysis, while effectively leading projects and teams to achieve strategic goals. Proficient in Medicare and value-based contracting with a strong focus on performance improvement and compliance.
Highest-signal resume keywords
Provider Contracting ExperienceFinancial AcumenContract Negotiation SkillsLeadership ExperienceMedicare Contracting Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract PreparationFinancial AnalysisValue-Based ContractingHospital ContractingStrategic PlanningPerformance ImprovementProject ManagementData AnalysisNegotiation SkillsProvider Recruitment
Soft Skills
Communication SkillsInterpersonal SkillsLeadership SkillsAnalytical ThinkingProblem-Solving Skills
Tools & Technologies
Contract Tracking SystemInternet ServiceWireless ConnectionWired Cable ConnectionDSL Connection
Certifications & Qualifications
Bachelor's Degree in BusinessBachelor's Degree in FinanceMaster's Degree in Business Administration
Industry Keywords
Provider AgreementsReimbursement RatesACO/Risk ContractingPHI/HIPAA ComplianceHealthcare Contracting
About the role
Key responsibilities & impact- Initiate, negotiate, and execute physician, hospital, and/or other provider contracts and agreements
- Communicate contract terms, payment structures, and reimbursement rates to providers
- Analyze the financial impact of contracts and terms
- Maintain contracts and documentation within a tracking system
- Assist with identifying and recruiting providers based on network composition and needs
- Implement new or updated programs and large-scale projects
- Support technical and operational procedures and processes
- Implement strategic plans and drive goals and objectives
- Improve performance
- Provide input into function strategy
- Lead people or projects
Requirements
What you’ll need- Bachelor’s Degree in Business, Finance or a related field; or a minimum of 10 years’ provider contracting experience to include hospital and value-based contracting
- A minimum of 5 years contracting experience to include hospital and value-based contracting
- Experience leading people or projects
- Strong financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena
- Proven contract preparation and negotiation skills
- In-depth knowledge of Medicare contracting, including Value Based/Incentive contracting experience
- Must live within the Northeast Region: Maryland, Washington DC, Delaware, Pennsylvania, New Jersey, New York, Connecticut, Massachusetts, Maine, New Hampshire, Vermont, or Rhode Island
- Master’s degree in business administration or finance preferred
- Experience with ACO/Risk Contracting preferred
- Minimum 25 Mbps download and 10 Mbps upload internet service
- Wireless, wired cable, or DSL connection suggested
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
Benefits
Comp & perks- Bonus incentive plan based upon company and/or individual performance
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Occasional travel to Humana offices for training or meetings may be required