Provider Contracting Executive

Humana

. Lead provider contracting activity for assigned markets, providers, and provider types within Georgia .

Posted 10/13/2026full-timeRemote • United StatesMid-LevelSenior💰 $94,900 - $130,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in provider contracting, negotiation, and relationship management within the healthcare sector, with a strong focus on value-based arrangements and compliance with regulatory standards.

Highest-signal resume keywords

Provider ContractingNegotiation SkillsValue-Based ArrangementsFinancial AnalysisHealthcare Network Management

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Provider Reimbursement MethodologiesContract InterpretationMarket AnalysisUtilization TrendsReimbursement Models

Soft Skills

Relationship ManagementProblem ResolutionPresentation Skills

Tools & Technologies

Microsoft ExcelMicrosoft PowerPoint

Industry Keywords

HealthcareNetwork AdministrationProvider AgreementsComplianceHumana Policies

About the role

Key responsibilities & impact

Lead provider contracting activity for assigned markets, providers, and provider types within Georgia
Negotiate and execute provider agreements, amendments, renewals, and terminations in alignment with enterprise network strategy
Develop and maintain relationships with hospitals, physician organizations, ancillary providers, and health systems
Resolve complex provider issues related to contract interpretation, escalations, and relationship management
Analyze market conditions, provider performance, reimbursement structures, utilization trends, and competitive dynamics
Partner with internal stakeholders on affordability, quality, network adequacy, growth, and member access objectives
Evaluate financial and operational impacts of proposed contract terms and reimbursement models
Support value-based arrangements and alternative payment models
Ensure contract terms comply with Humana policies, state and federal regulations, and internal governance requirements
Collaborate with legal, finance, network operations, credentialing, provider engagement, and clinical leadership teams
Report to the Director, Provider Contracting

Requirements

What you’ll need

Bachelor's degree
6+ years of progressive network management experience, including hospital contracting and network administration in a healthcare company
2+ years of supporting providers in value-based arrangements
Knowledge of provider reimbursement methodologies, including fee-for-service and value based models
Strong financial, analytical, and negotiation skills
Experience presenting to Senior leadership
Proficiency with Microsoft Office applications, especially Excel and PowerPoint
Ability to travel within Georgia as needed for provider meetings, department meetings, and market support

Benefits

Comp & perks

Bonus incentive plan based on 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
Work-from-home arrangement
Occasional travel to Humana offices for training or meetings