Job Overview
Location
Remote Georgia
Job Type
Full-time
Category
Operations
Date Posted
May 7, 2026
Full Job Description
đź“‹ Description
- • The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and other provider contracts, playing a critical role in shaping Humana’s provider network and ensuring access to quality care.
- • Day-to-day responsibilities include analyzing financial impacts of contract terms, communicating payment structures and reimbursement rates to providers, maintaining contracts in tracking systems, and assisting with provider recruitment based on network needs.
- • The role operates within Humana’s provider network management team, contributing to strategic decisions and working independently on moderately complex to complex contracting issues without direct supervision.
- • The individual will develop expertise in managed care contracting, financial analysis of healthcare agreements, and network strategy, gaining influence over departmental direction and building skills in high-stakes provider negotiations.
🎯 Requirements
- • 3 or more years of progressive network management experience
- • Experience negotiating managed care contracts with large physician groups, ancillary providers, and hospital systems
- • Proficiency in analyzing, understanding, and communicating the financial impact of contract terms, payment structures, and reimbursement rates to providers
- • Must reside in the State of Georgia with ability to travel to the Atlanta office once to twice monthly
🏖️ Benefits
- • Competitive medical, dental, and vision benefits
- • 401(k) retirement savings plan
- • Paid time off including company holidays, volunteer time off, and parental/caregiver leave
- • Short-term and long-term disability, life insurance, and other wellness benefits
- • Potential bonus incentive based on company and/or individual performance
Skills & Technologies
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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