Provider Contracting Director jobs in Brandon, FL

Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Provider Contracting Professional 2
  • Humana
  • Tampa, FL FULL_TIME
  • Become a part of our caring community and help us put health first
     

    The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

    The Provider Contracting Professional 2 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. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

    Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

    • Health benefits effective day 1
    • Paid time off, holidays, volunteer time and jury duty pay
    • Recognition pay
    • 401(k) retirement savings plan with employer match
    • Tuition assistance
    • Scholarships for eligible dependents
    • Parental and caregiver leave
    • Employee charity matching program
    • Network Resource Groups (NRGs)
    • Career development opportunities


    Use your skills to make an impact
     

    Required Qualifications

    • 2 years of experience in negotiating or servicing managed care contracts with physician, hospital and/or other provider contracts.
    • Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to providers.
    • Excellent written and verbal communication skills
    • Ability to manage multiple priorities in a fast-paced environment
    • Proficiency in MS Office applications

    Preferred Qualifications

    • Bachelor's degree
    • Experience with ACO/Risk Contracting
    • Experience with Value Based Contracting
    • Located in the State of Florida

    Additional Information

    This role is considered "remote/work at home" with the preferred candidate being located within the State of Florida.

    Work at Home Information

    To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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 connection is suggested
    • Satellite, cellular and microwave connection can be used only if approved by leadership
    • Employees 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.
    • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
    • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

    #LI-Remote

    #LI-JR1

    Scheduled Weekly Hours

    40

    Pay Range

    The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


     

    $63,400 - $87,400 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

    Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.


    About us
     

    Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


    Equal Opportunity Employer

    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 because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all 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 all levels of employment.

  • 6 Days Ago

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Contracting Controls Technician
  • OneTen
  • Tampa, FL FULL_TIME
  • Ready to grow your HVAC career with a stable best-in-class organization that provides top-notch pay and benefits? As a Controls Technician with Trane, you’ll enjoy steady hours while working with a co...
  • 16 Days Ago

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Contracting Controls Technician (Sarasota)
  • Career and Referral
  • Tampa, FL FULL_TIME
  • At Trane TechnologiesTM and through our businesses including Trane® and Thermo King®, we create innovative climate solutions for buildings, homes, and transportation that challenge what’s possible for...
  • 16 Days Ago

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Contracting Controls Technician (Sarasota)
  • OneTen
  • Tampa, FL FULL_TIME
  • At Trane TechnologiesTM and through our businesses including Trane® and Thermo King®, we create innovative climate solutions for buildings, homes, and transportation that challenge what’s possible for...
  • 16 Days Ago

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Recruiter (Defense contracting)
  • People, Technology & Processes
  • Tampa, FL FULL_TIME
  • Job Title: Recruiter Job Location: Tampa, FL Purpose: Under general supervision, the Recruiter markets PTP’s job opportunities and recruits external applicants to obtain employment with PTP. This job ...
  • 8 Days Ago

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Contracting / Licensing Lead
  • Unified Growth Partners Inc.
  • Tampa, FL FULL_TIME
  • Company Overview:Unified Growth Partners is a tech-enabled distribution management platform enabling robust multi-channel distribution capabilities for the broad retail market with a focus on healthca...
  • 1 Month Ago

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0 Provider Contracting Director jobs found in Brandon, FL area

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Mitigation Technician - Training Provided!
  • StaffBuilders HR
  • Lakeland, FL
  • Job Description Job Description At StaffBuildersHR, our goal is to place great people with great companies! A local mold...
  • 4/24/2024 12:00:00 AM

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Restoration Technician - Training Provided
  • StaffBuilders HR
  • Lakeland, FL
  • Job Description Job Description At StaffBuildersHR, our goal is to place great people with great companies! A local mold...
  • 4/24/2024 12:00:00 AM

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Sales Representative (Remote): Trainings Provided, No Cold Calls, Bonus Provided
  • Brook Financial Group
  • Clearwater, FL
  • Our company's accolades include consecutive acknowledgments as a Top Company Culture by Entrepreneur Magazine, consisten...
  • 4/23/2024 12:00:00 AM

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Provider Contracting Professional 2
  • Humana
  • Tampa, FL
  • Become a part of our caring community and help us put health first The Provider Contracting Professional 2 initiates, ne...
  • 4/22/2024 12:00:00 AM

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Neurology Advanced Practice Provider
  • Hca Healthcare
  • Bradenton, FL
  • DescriptionSpecialization:NeurologyJob Summary:Immediate opportunity for an APP that has experience in the neurology fie...
  • 4/22/2024 12:00:00 AM

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Pest Control Technician - Training Provided
  • HomeTeam Pest Defense
  • Tampa, FL
  • ** Pest Control Technician - Training Provided** **Job Category****:** Outside Service Technician **Requisition Number**...
  • 4/22/2024 12:00:00 AM

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Advanced Practice Provider
  • Quest Healthcare Solutions
  • Saint Petersburg, FL
  • ?? Exciting Opportunity for Nocturnist Hospitalist Advanced Practice Provider ?? Are you a dedicated and skilled Advance...
  • 4/20/2024 12:00:00 AM

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Provider Engagement Professional Conviva Remote
  • Conviva
  • Tampa, FL
  • **Become a part of our caring community and help us put health first** The Provider Engagement Professional develops and...
  • 4/20/2024 12:00:00 AM

Brandon is an unincorporated community and census-designated place (CDP) in Hillsborough County, Florida, United States. It is part of the Tampa–St. Petersburg–Clearwater Metropolitan Statistical Area. As of the 2010 census, the CDP had a population of 103,483, up from 77,895 at the 2000 census. Brandon's census boundaries include Palm River-Clair Mel to the west across U.S. Route 301, Valrico to the east, Riverview and Bloomingdale to the south, and East Lake-Orient Park, Mango, and Seffner to the north. Brandon is 11 miles (18 km) east of downtown Tampa and 14 miles (23 km) southwest of Plan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$163,545 to $236,202
Brandon, Florida area prices
were up 1.1% from a year ago

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