Provider Contracting Coordinator

By | October 11, 2022

Job Responsibilities : Provider Contracting Coordinator

Salary : $107600 per year

Company : Humana

Location : Remote US

The Provider Contracting Coordinator 3 initiates negotiates and executes physician hospital and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Coordinator 3 performs advanced administrative operational and customer support duties that require independent initiative and judgment.

Responsibilities

The Provider Contracting Coordinator 3 communicates contract terms payment structures and reimbursement rates to providers. Analyzes financial impact of contracts and terms. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Decisions are typically focused on methods tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures processes and techniques and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.

Required Qualifications

  • 1 – 3 years of provider relations provider contracting or account management experience

  • 1 – 2 years of leadership experience

  • Excellent written and oral communication skills

  • Ability to manage multiple priorities in a fast-paced environment

  • Knowledge of Microsoft Office applications

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Bachelor’s Degree

  • Experience with ACO/Risk Contracting

  • Value-based contracting experience

Work-At-Home Requirements

  • Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

  • A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.

  • Satellite and Wireless Internet service is NOT allowed for this role.

  • A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

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Scheduled Weekly Hours

40

Not Specified

0

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