Director, Provider Contracting

Humana Inc.

Job Overview

Location

Remote Illinois

Job Type

Full-time

Full Job Description

📋 Description

• As Director, Provider Contracting at Humana Inc., you will lead the initiation, negotiation, and execution of physician, hospital, and other provider contracts and agreements for the state of Illinois, playing a critical role in shaping the organization’s network strategy and ensuring access to high-quality care for members. This role directly impacts Humana’s ability to deliver on its mission of improving consumer experiences by securing sustainable, value-based provider relationships that align with strategic goals and financial objectives.
• You will analyze the financial impact of contract terms and reimbursement structures, communicate complex payment models to providers, and maintain accurate contract documentation within tracking systems, ensuring compliance and operational efficiency. Your work will support the implementation of new or updated programs, drive performance improvements, and inform functional strategy through data-driven insights and cross-functional collaboration.
• You will assist in identifying and recruiting providers based on network composition and strategic needs, leveraging your expertise in Medicare, Medicaid, and other reimbursement methodologies to build and strengthen provider relationships that meet evolving market demands and regulatory requirements.
• You will provide leadership and teambuilding guidance, mentoring and developing staff while fostering a collaborative, high-performance culture aligned with Humana’s values of care, integrity, and innovation. Your ability to hire, train, and motivate teams will be essential to scaling contracting capabilities and achieving organizational objectives.
• You will operate with a high degree of autonomy and strategic influence, making decisions related to large-scale projects and technical/operational processes, while contributing to the long-term vision of Humana’s provider contracting function and supporting the company’s broader goals in value-based care and population health management.
• You will gain deep exposure to healthcare reimbursement innovation, including ACO/risk contracting and value-based models, positioning you at the forefront of industry transformation and enhancing your expertise in healthcare finance, contract law, and strategic partnership development.

🎯 Requirements

• Bachelor’s Degree required
• 2+ years of extensive provider contracting experience inclusive of all provider types (physician, hospital, ancillary, etc.)
• Proven leadership experience, including teambuilding and hiring
• Strong financial acumen with proficiency in analyzing and interpreting financial trends in provider contracting
• In-depth knowledge of Medicare, Medicaid, and other reimbursement methodologies
• Proven contract preparation and negotiation skills

🏖️ Benefits

• Competitive base pay range of $138,900 - $191,000 per year, eligible for bonus incentive plan based on company and/or individual performance
• Comprehensive benefits package including medical, dental, and vision coverage, 401(k) retirement savings plan, short- and long-term disability, life insurance, and paid time off (including parental and caregiver leave)
• Remote work flexibility with occasional office visits required; must be located in Illinois (preference for greater Chicago area)
• Home office support including bi-weekly internet expense reimbursement for eligible states (Illinois included), telephone equipment provision, and guidance on maintaining a secure, HIPAA-compliant workspace
• Opportunity to work with a leading U.S. healthcare company (Humana Inc., NYSE: HUM) dedicated to improving health outcomes for Medicare, Medicaid, military, and underserved communities through integrated insurance and CenterWell healthcare services

Skills & Technologies

Remote

$138k-191k

Degree Required

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Humana Inc.

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About Humana Inc.

Humana Inc. is a for-profit health and well-being company headquartered in Louisville, Kentucky. Founded in 1961, it provides health insurance, Medicare Advantage plans, Medicaid services, pharmacy benefit management, and clinical care through primary care centers. Serving millions of members across the United States, Humana focuses on integrated care delivery, home health, and wellness programs aimed at improving health outcomes and reducing costs for individuals, employers, and government partners.

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