Provider Contracting Professional (Behavioral Health/Medicaid)
Humana —North Carolina
- $65,000 - $88,600 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
3d
Telework US Government Grants Management Specialist / Grants Support Specialist
Arcetyp LLC —Raleigh-Durham, NC
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- Analysis skills
Quick Apply
Provider Contracting Advisor - Cigna Healthcare - Charlotte, NC (Hybrid)
The Cigna Group —Charlotte, NC
- Online Application
- Hybrid work
- Mid-level
- Bachelor's degree
- Mentoring
Lease Admin Coordinator II - REMOTE
Ryder System —Raleigh, NC
- $18.25 - $18.50 an hour
- Remote
- Research
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
11d
Contract Administrator II
Atrium Health —Charlotte, NC
- $30.70 - $46.05 an hour
- Full-time
- Microsoft Excel
- Customer service
- Mid-level
- Paid parental leave
- Disability insurance
10d
Specialist, Stable Value Contracts
Lincoln Financial —Charlotte, NC
- $55,700 - $100,200 a year
- Online Application
- Remote
- Microsoft Outlook
- Research
- Mid-level
- Tuition reimbursement
- Paid time off
Senior Contracts Manager (REMOTE)
Cyware —Charlotte, NC
- Remote
- Finance
- Bachelor's degree
- Continuous improvement
- Paid holidays
- Retirement plan
Quick Apply
Senior Manager, Trade Contract Advisory (REMOTE)
CVS Health —North Carolina
- $67,900 - $182,549 a year
- Full-time
- Remote
- 7 years
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Grants Compliance Officer - Hybrid
Wake County Government —Raleigh, NC
- $76,986 - $138,582 a year
- Mid-level
- Office
- 3 years
8d
Commercial Manager
Linesight —Charlotte, NC
- $125,000 - $175,000 a year
- Full-time
- Hybrid work
- Mid-level
- Experience equivalent to degree accepted
- Commercial
Contract Analyst
Grand Strand Medical Center-NC —Asheville, NC
- Full-time
- Remote
- Mid-level
- Experience equivalent to degree accepted
- Employee stock purchase plan
- Disability insurance
Quick Apply
6h
Specialist, Procurement and Category Management (Subcontracts)
Deloitte —Raleigh, NC
- $66,200 - $121,800 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Site Contracts Manager II (Sponsor-Dedicated/ Remote - US only)
Syneos - Clinical and Corporate - Prod —North Carolina
- $47,000 - $95,900 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Continuous improvement
- Employee stock purchase plan
- Health insurance
10d
Supervisory Contracting Officer Representative
US Military Treatment Facilities under DHA —Camp Lejeune, NC
- $89,508 - $116,362 a year
- Online Application
- Background check
- Pass drug screening
- Travel
2d
Site Activation Specialist/ Contract Negotiator
IQVIA —Durham, NC
- $49,200 - $123,000 a year
- Full-time
- Remote
- Maintenance
- Mid-level
- Databases
- Work from home
Senior Customer Contracts Manager
GE Vernova —Wilmington, NC
- $104,200 - $173,700 a year
- Full-time
- Writing skills
- Pass drug screening
- Office
- Paid parental leave
- Paid holidays
4d
Associate Investigator Grant Analyst
Thermo Fisher Scientific —Wilmington, NC
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Wellness program
- Commuter assistance
8d
Senior Site Contract Specialist / Contract Manager (Sponsor Dedicated/ Remote- US Only)
Syneos - Clinical and Corporate - Prod —North Carolina
- $56,400 - $95,900 a year
- Full-time
- Remote
- Business development
- Analysis skills
- Bachelor's degree
- Employee stock purchase plan
- Health insurance
9d
Site Contracts Associate, IQVIA Biotech
IQVIA —Durham, NC
- $49,200 - $123,000 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
- Work from home
Senior Hospital Contracting Strategist
Humana —North Carolina
- $78,400 - $107,800 a year
- Full-time
- Remote
- Microsoft Excel
- 5 years
- Master's degree
- Paid parental leave
- Paid holidays
23h

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Provider Contracting Professional (Behavioral Health/Medicaid)

Humana -
North Carolina

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Job Details

Full-time
$65,000 - $88,600 a year
3 days ago

Benefits

Paid parental leave
Caregiver leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Parental leave
Vision insurance
Life insurance

Qualifications

Contract management experience in healthcare
Financial analysis
Direct contracting
Contracts
Terms and conditions negotiation

Full Job Description

Become a part of our caring community

The Provider Contracting Professional initiates, negotiates, and executes behavioral health provider contracts for South Carolina Medicaid.

The Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to Behavioral Health providers. Analyzes the financial impacts of contracts and terms. Maintains contracts and documentation within a tracking system. Identifies and recruits providers based on network composition and needs. Makes decisions on moderately complex issues regarding technical approaches for project components. Engages in contracting negotiations with Behavioral Health physicians and Community Mental Health providers. Exercises considerable latitude in determining objectives and approaches to assignments.

Use your skills to make an impact

Required Qualifications

2+ years of experience in negotiating or servicing managed care contracts with physician, hospital and/or other provider contracts
Proficiency in analyzing, understanding, and communicating the financial impact(s) of contract terms, payment structures and reimbursement rates to providers
Must live within the market to include SC, NC, GA

Preferred Qualifications

Bachelor's Degree
Experience with behavioral health contracts
Experience working with Medicaid contracts

Additional Information

This role is "remote/work at home", however, you must live within the stated region.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$65,000 - $88,600 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Apply Now

Refine Your Search

contract administrators jobs in north carolina

Provider Contracting Professional (Behavioral Health/Medicaid)

Telework US Government Grants Management Specialist / Grants Support Specialist

Provider Contracting Advisor - Cigna Healthcare - Charlotte, NC (Hybrid)

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