Job Overview
Location
Remote Nationwide
Job Type
Full-time
Category
HR & Recruiting
Date Posted
May 15, 2026
Full Job Description
đź“‹ Description
- • Negotiate physician, hospital, and other provider contracts and agreements specifically for Medicaid health plans.
- • Analyze the financial impact of contract terms, payment structures, and reimbursement rates to ensure alignment with organizational goals.
- • Maintain accurate and up-to-date contract documentation within designated tracking systems.
- • Independently determine appropriate courses of action for contracting assignments, with guidance provided as needed.
- • Support network development by assisting in the identification and recruitment of providers based on Medicaid plan network composition and strategic needs.
- • Understand and apply departmental, segment, and organizational strategies and operating goals, including their interconnections with related functions.
- • Work within Eastern Standard Time zone hours during core business hours: Monday – Friday, 8:00am – 5:00pm EST.
- • Perform all duties remotely from a dedicated, interruption-free workspace compliant with HIPAA requirements to protect member PHI.
- • Utilize Microsoft Excel and Word proficiently to manage data, prepare reports, and communicate contract details.
- • Ensure compliance with all contractual and regulatory standards related to Medicaid provider agreements.
- • Collaborate cross-functionally to align contracting outcomes with broader health plan objectives.
- • Participate in virtual interviews using HireVue as part of the hiring process, and engage in remote training or meetings as required.
- • Adhere to Humana’s remote work technology standards, including minimum internet speeds of 25 Mbps download and 10 Mbps upload.
- • Use approved communication and documentation systems for all contracting activities, including QuickBase if experienced.
- • Operate under a full-time schedule of 40 hours per week with no travel required except for occasional, infrequent in-person training or meetings.
- • Contribute to network management initiatives focused on expanding and optimizing Medicaid provider networks.
🎯 Requirements
- • 2+ years of experience negotiating managed care contracts with physicians, hospitals, and/or other providers
- • Must work within Eastern Standard Time zone during core business hours (8:00am – 5:00pm EST)
- • Strong proficiency in Microsoft Excel and Word
- • Work from a dedicated home workspace compliant with HIPAA privacy standards
- • Reliable internet connection with minimum 25 Mbps download and 10 Mbps upload speeds
- • Willingness to use HireVue for interview processes
🏖️ Benefits
- • Competitive base pay range of $65,000 – $88,600 per year with eligibility for a bonus incentive plan based on company and/or individual performance
- • Medical, dental, and vision benefits
- • 401(k) retirement savings plan
- • Paid time off, company and personal holidays, volunteer time off, and paid parental and caregiver leave
- • Telephone equipment provided by Humana for remote work
- • Bi-weekly internet expense reimbursement for associates living in California, Illinois, Montana, or South Dakota
Skills & Technologies
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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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