Physician Contracting Representative

Company: Humana
Location: Cincinnati, OH
Employment Type: Full Time
Wage: yearly

Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

Role: Physician Contracting Representative
Assignment: Provider Contracting
Location: Cincinnati, OH

Are you a fit?
Are you a strategic thinker and a problem solver? Would you enjoy using your business knowledge to negotiate and manage successful provider relationships?

Assignment Capsule
As a Provider Contracting physician contracting representative you will: prioritize network needs both quantitatively and qualitatively, strategically approach the hospital provider community, and negotiate contracts that are favorable to Humana's business. You will also ensure a competitive network, helping to facilitate the sales force's ability to penetrate new business opportunities.

  • Negotiate and re-negotiate high-volume, transactional-style physician contracts
  • Function as the single point-of-contact for all on-going contractual and service issues as needed by providers
  • Facilitate provider education, training them in order to increase their familiarity and satisfaction with Humana's systems and strategies
  • Create trend analyses and summaries for decision-making purposes
  • Interface with market leaders to align contracting needs and business efforts
  • Set targets and priorities in order to meet national and market-specific network needs.

Key Competencies
  • Builds Trust: You honor your word by doing what you say you are going to do.
  • Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
  • Innovate: You introduce new ideas and processes which improve performance and productivity.
  • Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.

Role Essentials
  • Bachelor's Degree in Business, Finance or a related field
  • Progressive experience in managed care contracting and/or provider relations
  • Proficiency in analyzing, understanding and communicating financial trends
  • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and Access
  • A valid Driver's license and an automobile are required for this role

Role Desirables
  • Master's Degree in Business Administration or a related field

Reporting Relationships
You will report to a Manager. This area is under the leadership of the SVP & Chief Operating Officer.

Additional Information

Job Code: 46100
Category: Health Care
Post Date: Monday, August 29, 2011 at 5:01 AM
Company: Humana
Contact Name:

Apply Methods

- apply to this job without creating a job seeker profile.

- create an online resume and apply to this job.

- have an account? login to apply using your saved resume and profile.

© 1996 - 2018 Data Frenzy, All Rights Reserved.