Senior Provider Contracting Professional - Behavioral ...

Become a part of our caring community and help us put health first The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, or other provider contracts and agreements. The Senior Provider Contracting Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Assignment: Humana Behavioral Health Location: WAH Remote (anywhere USA) The Senior Provider Contracting Professional for Medicaid Behavioral Health communicates contract terms, payment structures, and reimbursement rates to providers. This is done by building new provider networks to support Medicaid new business development. The Senior Professional also analyzes the financial impact of contracts and terms and maintains contracts and documentation within a tracking system. Begin to influence department's strategy. Work is performed without direction. You will: + Negotiate hospital, ancillary, and physician contracts at market competitive pricing. + Recruit new providers to Medicaid networks to support Humana's Medicaid business development + Communicate with other departments to ensure efficient results. + Subject matter expert on their assigned region or states on all things behavioral health networks + Support team leadership in developing network recruitment strategy to meet business needs Use your skills to make an impact Required Qualifications + 3 or more years of progressive network management experience and network administration in a healthcare company + Experienced in negotiating managed care contracts with large behavioral health physician groups, ancillary providers and/or hospitals + Proficiency in analyzing and understanding financial impact of contract terms, payment structures and reimbursement rates to providers Preferred Qualifications + Bachelor's Degree + Experience with hospital contracting + Experience with ACO/Risk Contracting + Experience with Value-based Contracting + Located in Eastern or Central Time Zone Additional Information This role is

Created: 2026-02-05