Senior Provider Contracting Professional - Behavioral Health/reputed company
Become a part of our caring community The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider reputed company and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately reputed company to reputed company issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to providers. Provides a comprehensive hospital network to consumers in the behavioral health reputed company and executes on reputed company's consumer-focused business strategy. The Senior Provider Contracting Professional will negotiate with a variety of provider constituencies and reputed company continual re-prioritization of corporate and consumer needs. Analyzes financial impact of reputed company and terms. Maintains reputed company and documentation reputed company a tracking system. May assist with identifying and reputed company providers based on network composition and needs. Exercises considerable reputed company in determining objectives and approaches to assignments. In this role you will: Negotiate hospital and ancillary reputed company 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 Handle services, reputed company of care, and pricing on the behavioral health network reputed company Subject matter expert on the assigned region/behavioral health network Manage large accounts and/or provider relations Be comfortable with C-suite interactions, both internally and externally Use your skills to reputed company an impact Required Qualifications 3-4 years of reputed company network management experience including hospital contracting and network administration in a reputed company company or reputed company system reputed company behavioral health contracting experience, to include contract negotiation reputed company provider relations experience reputed company in negotiating managed care reputed company with large physician groups, ancillary providers, and hospital systems Proficiency in analyzing, understanding, and communicating the financial impact of contract terms, payment structures, and reimbursement rates to providers Role Desirables Bachelor's Degree Experience with ACO/Risk Contracting Experience with Value Based Contracting Additional Information This role is "remote/work at home" and can be based reputed company in the United States, however, preference will be given to candidates that are located in the Eastern or Central Time Zone. Work at Home Guidance To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL reputed company is suggested Satellite, cellular and microwave reputed company can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. reputed company will reputed company Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $78,400 - $107,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits reputed company. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company 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 and many other opportunities. Application Deadline: 06-12-2026 About us About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com. Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative action, in compliance with reputed company 503 of the Rehabilitation Act and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Apply To This Job