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Provider Contracting Professional (Behavioral Health/Medicaid) at Humana - ApplyBlast

Provider Contracting Professional (Behavioral Health/Medicaid)

Humana

4 months ago

3.6 on Glassdoor

Remote

Full Time

Senior

1 applicant

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About this role

The Provider Contracting Professional initiates, negotiates, and executes behavioral health provider contracts for Virginia Medicaid. This role involves communicating contract terms, analyzing financial impacts, and recruiting providers while managing moderately complex technical issues. The position requires exercising considerable latitude in determining objectives and approaches to assignments within the specified market region.

Responsibilities

Initiate and negotiate behavioral health provider contracts
Analyze financial impacts of contract terms and reimbursement rates
Recruit providers based on network composition and needs
Maintain contracts and documentation within tracking systems
Communicate payment structures to physicians and community mental health providers

Skills

Qualifications

Bachelor's Degree2+ years in managed care contracts

About Humana

humana.com

Headquarters

Louisville, Kentucky, United States

Company Size

10001+ employees

Founded

1961

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