CenterWell Pharmacy is hiring a Provider Contracting Executive to build and manage our provider network. In this role, you will initiate, negotiate, and execute physician, hospital, and other provider contracts, ensuring a strong network that supports our commitment to putting health first.
What You'll Do
- 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.
- Advise executives to develop functional strategies on matters of significance.
What We're Looking For
- Bachelor's degree.
- 5 or more years of progressive network management and network administration in a healthcare company.
- 2 or more years of project leadership experience.
- Extensive provider contracting skills, including contract preparation, negotiation, implementation, financial analysis, and rate proposal development.
- 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.
- Must live in the State of Florida.
Nice to Have
- Master's Degree.
- Experience with ACO/Risk Contracting.
- Experience with Value Based Contracting.
Benefits & Compensation
- Compensation range: $94,900 - $130,500 per year.
- Medical, dental and vision benefits.
- 401(k) retirement savings plan.
- Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave).
- Short-term and long-term disability.
- Life insurance.
Work Mode
This is a remote position open to candidates residing in Florida.
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.
