Humana Hospital Contracting Executive in Irving, Texas

Role: Provider Contracting Hospital Contractor

Assignment:Humana Behavioral Health

Location:Irving TX

We’re looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise, and this value is reflected in our expectations for providing perfect service to our providers, consumers, employers, agents and others we work with. At Humana, Perfect Service® means getting the basics done right, delivering value and quality, and providing everyone with personalized attention and guidance. We want to engage with our members through every step of their journey to lifelong well-being. This includes meaningful direct consumer interaction and developing positive relationships with healthcare providers. Humana associates provide Perfect Service every day to our providers, members, employers, and colleagues. We’re looking for people who improve their own well-being by looking out for the best interests of others.

Assignment Capsule

Be part of the Provider Contracting world at Humana where you will help build and maintain a competitive network for our members. Providing a comprehensive hospital network to consumers and executing on Humana's consumer-focused business strategy demands constant negotiation with a variety of provider constituencies and continual re-prioritization of corporate and consumer needs.

As a Hospital Contractor you will strategically engage the hospital provider community and negotiate contracts that are favorable to Humana’s business, opening doors for Humana's continuing penetration of the marketplace. You will also ensure that our networks are competitive within the industry by helping facilitate Sales’ ability to penetrate new business opportunities.

  • 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.

Key Competencies

  • Interpersonal Effectiveness: Understands oneself, effectively manages emotions, listens and communicates with respect, and builds trusting relationships.

  • Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints.

  • Accountability: Meets established expectations and takes responsibility for achieving results; encourages others to do the same.

  • Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions.

Role Essentials

  • Bachelor’s Degree in Business, Finance or a related field; or a minimum of 5 years’ relevant business experience
  • Progressive network management experience including contracting, provider relations and/or network administration in a healthcare company
  • Excellent written and verbal communication skills and experience presenting to varied audiences
  • Ability to manage multiple priorities in a fast-paced environment
  • Knowledge of Microsoft Office applications
  • Driver’s license and vehicle are required

Role Desirables

  • Master’s Degree in Business Administration or a related field

  • Proven experience negotiating Medicare and CMS reimbursement methodologies with complex hospital systems and large physician groups

  • Extensive provider contracting skills, including contract preparation and implementation, financial analysis and rate proposal development

  • Experience with ACO/Risk Contracting

Reporting Relationships

This position reports to a Director of Contracting.

Additional Information

Humana is an organization with careers that change lives—including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you’re ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.

Apply now, or join our Talent Network so you can stay informed and up to date on what’s happening at Humana.

Job Contracting and Provider Relations

Title: Hospital Contracting Executive

Location: Texas-Irving

Requisition ID: 167025