CenterWell Pharmacy is looking for a Provider Contracting Professional 2 to initiate, negotiate, and execute physician and hospital contracts. You’ll analyze financial impacts, communicate terms, and help maintain a strong provider network, supporting our commitment to putting health first.
What You'll Do
- Initiate, negotiate, and execute physician, hospital, and other provider contracts.
- Communicate contract terms, payment structures, and reimbursement rates to providers.
- Analyze the financial impact of contracts and their specific terms.
- Maintain contracts and documentation within a dedicated tracking system.
- Assist with identifying and recruiting providers based on network composition and needs.
- Understand department, segment, and organizational strategy and operating objectives.
- Make decisions regarding your own work methods, occasionally in ambiguous situations.
What We're Looking For
- 2+ years of experience negotiating or servicing managed care contracts.
- Understanding of contract terms, payment structures, and reimbursement rates.
- Excellent written and verbal communication skills.
- Ability to manage multiple priorities in a fast-paced environment.
- Proficiency in MS Office applications.
- Live in the State of Florida with the ability and willingness to travel on occasion.
Nice to Have
- Bachelor's degree.
- Experience with ACO/Risk Contracting.
- Experience with Value Based Contracting.
Technical Stack
- MS Office applications
Benefits & Compensation
- Compensation: $65,000 - $88,600 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 requiring you to live in Florida, US.
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.
