Provider Contracting Professional (Behavioral Health/Medicaid)

Are you a highly motivated and experienced professional passionate about making a positive impact in the healthcare industry? Look no further! Humana is seeking a dynamic Provider Contracting Professional with a focus on Behavioral Health and Medicaid to join our team. In this role, you will play a crucial role in expanding our network of providers and negotiating contracts to ensure our members have access to high-quality behavioral health services. The ideal candidate will have a strong background in provider contracting, a deep understanding of Medicaid regulations, and a dedication to improving the lives of our members. If you are ready to take on a challenging and rewarding role, we would love to hear from you.

Expand Provider Network: Develop and implement strategies to expand Humana's network of behavioral health providers, including identifying and recruiting new providers.

Negotiate Contracts: Lead negotiations with behavioral health providers to secure contracts that are mutually beneficial and align with Humana's business goals.

Ensure Regulatory Compliance: Stay up-to-date on Medicaid regulations and ensure that all provider contracts are in compliance with state and federal guidelines.

Monitor Performance: Monitor provider performance and contract compliance, and work with providers to address any issues or concerns.

Foster Relationships: Build and maintain relationships with providers, serving as a liaison between Humana and our network of providers.

Analyze Data: Utilize data analysis to identify trends and develop strategies to improve network performance and optimize contract negotiations.

Collaborate with Cross-Functional Teams: Work closely with other departments such as Finance, Legal, and Operations to ensure seamless implementation of provider contracts and resolve any issues that may arise.

Stay Informed: Stay informed on industry trends, market changes, and competitor strategies to make informed decisions and remain competitive in the market.

Drive Quality: Advocate for high-quality behavioral health services and work towards improving the overall health outcomes of Humana's members.

Represent Humana: Serve as a representative of Humana in all interactions with providers, maintaining a professional and positive image of the company.

Humana is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

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