Provider Contracting Consultant(Humana)

Monday, Aug 24,2009, 9:44:19 PM Click:

Humana

Location:US

Web Site:www.humana.com

Company Overview:

Business Units
Humana’s diverse business units position us to serve many types of consumers, including seniors, military members, and self-employed individuals.

Corporate Leadership
Our experienced leaders are dedicated to developing and delivering innovative products and consumer-focused guidance.

Recognition
We have received several awards, including many that recognize Humana's commitment to consumer guidance and technology.

Certifications & Accreditations
Several industry watchdog groups have recognized Humana for its healthcare plans, benefits, and services to members and providers.

Positions Currently Available

Provider Contracting Consultant

Job Description

Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

Role: Provider Contracting Consultant
Location: Chicago, IL

Are you a fit?
Are you a self-starter and an analytical thinker? Would you enjoy using your specific business knowledge to analyze and solve provider concerns? If so, then read on!

Assignment Capsule
As a Provider Contracting consultant you will: influence, educate and lead both internal and external business groups in order to optimize business results and ensure exceptional member experiences. You will also help to establish business objectives and create a tangible plan that will lead to their realization.

Assess specific provider concerns, developing and implementing solutions that are beneficial to providers, Humana members, and the business-at-large.
Educate providers about Humanas ever-expanding portfolio of products and services, ensuring continually updated knowledge about the companys offerings.
Negotiate contracts that align provider needs and health plan incentives, helping to assist network providers in achieving their determined goals.
Analyze data for cost reduction initiatives, guaranteeing profitable and efficient business relationships.

Key Competencies

Builds Trust: You honor your word by doing what you say you are going to do.
Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
Innovate: You introduce new ideas and processes which improve performance and productivity.
Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.

Role Essentials

Bachelors Degree in Business, Finance or a related field
Prior demonstrated experience in the health solutions industry, with specific experience in the areas of Provider Contracting and Provider Relations
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and Access

Role Desirables