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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive provider contracting skills, including negotiation, financial analysis, and rate proposal development, while effectively managing network administration in a healthcare environment. Capable of advising executives on strategies and making independent decisions on complex issues.
Highest-signal resume keywords
Provider ContractingContract NegotiationFinancial AnalysisNetwork ManagementProject Leadership
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 PreparationRate Proposal DevelopmentFinancial Impact AnalysisNetwork AdministrationProvider Recruitment
Soft Skills
CommunicationIndependent JudgmentDecision-Making
Tools & Technologies
Contract Tracking System
Industry Keywords
HealthcareACO ContractingRisk ContractingValue Based ContractingPHI ComplianceHIPAA Compliance
About the role
Key responsibilities & impact- Initiate, negotiate, and execute physician, hospital, and other provider contracts and agreements for Humana's Alabama Market
- Serve as the primary point of contact with providers
- 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
- Identify and recruit providers based on network composition and needs
- Advise executives on functional strategies and significant matters
- Exercise independent judgment and make decisions on complex issues with minimal supervision
- Travel to providers within the region up to 20% of the time
Requirements
What you’ll need- 5 or more years of progressive network management experience and network administration in a healthcare company
- 2 or more years of project leadership experience
- Extensive provider contracting skills, including contract negotiation, preparation and implementation, financial analysis, and rate proposal development
- Must live within the region
- Ability and willingness to travel to providers up to 20% of the time
- Minimum download speed of 25 Mbps and upload speed of 10 Mbps for home or hybrid home/office employees
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
- Bachelor's Degree preferred
- Experience with ACO/Risk Contracting preferred
- Experience with Value Based Contracting preferred
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
- Home or Hybrid Home/Office work arrangement
- Occasional travel to Humana offices for training or meetings
