Manager Hospital Contracting

Profile

Description

The Manager, Hospital Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Manager, Provider Contracting works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.

Responsibilities

The Manager, Hospital Contracting has expertise in contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and terms. Manages strategic positioning for hospital and provider contracting. Manages complex contracts and negotiations. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the organization. May have responsibility for direct reports.

Required Qualifications


Bachelor's Degree, preferably in Finance, Economics, Healthcare, or Business
6 or more years of progressive contracting experience for a national health plan specifically with hospital contract negotiation
2 or more years of management experience including supervising and team building
Experiencing managing strategic positioning for provider contracting
Understanding and experience working with value based contracts
Strong business and financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena
Experience with contract language, and preparation, with an in-depth knowledge of Medicaid, Medicare, Commercial and other reimbursement methodologies
Superior problem solving and decision making
Excellent written and verbal communication skills and experience presenting to varied audiences
Ability to manage multiple and competing priorities in a fast-paced environment
Strong working knowledge of Microsoft Office applications to include Excel
Must be passionate about contributing to an organization focused on continuously improving consumer experiences


Preferred Qualifications


Master's Degree
Experience with ACO/Risk Contracting


Additional Information

As we return to our offices, this role will be based out of Humana's Miramar office with up to 25% travel, primarily within the region

Scheduled Weekly Hours

40

Company info

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