Provider Contracting Executive

Job Listing ID:

4493426

Job Title:

Provider Contracting Executive Application Deadline:

Open Until Filled

Job Location:

Salem

Date Posted:

05/16/2026

Hours Worked Per Week:

Not Provided Shift:

Not Provided Duration of Job:

Either Full or Part Time, more than 6 months You may contact this employer directly. (Obtain the contact information to print or add to your jobs.)

Job Summary:

Become a part of our caring community The Provider Contracting Executive executes physician, hospital, and other provider contracts and agreements for organizations that provide health insurance. The Provider Contracting Executive will support the Nevada and Hawaii market and works on problems of diverse scope and complexity ranging from moderate to substantial, reporting directly to the Provider Contracting Director.

Duties and Responsibilities:

You will prepare and communicate contract terms, payment structures, and reimbursement rates to providers. Analyze the financial impact of contracts and contract terms. Maintain contracts and related documentation within a tracking system. Identify and recruit providers based on network composition and needs. Advise executives on developing functional strategies (often segment-specific) for significant matters. Use your skills to make an impact Required Qualifications At least 5+ years of health care or managed care experience with focus in Provider Contracting, Network Management or Provider Relations. 2+ years of demonstrated project management experience and partnering with senior leadership on strategic initiatives. 2+ years of value-based contracting. 2+ years of facility and ancillary contracting. Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies. Experience managing various projects simultaneously. Ability to travel as needed. Must work Pacific Standard Time (PST). Preferred Qualifications Bachelor's degree in business, healthcare administration, finance, or a related field. Experience and comfort with contract management systems. Knowledge of Medicare Stars and HEDIS measures. Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance. Comprehensive knowledge of Medicare policies, processes and procedures. Resides in AZ, CA, CO, HI, NM, NV, OR, or WA. Additional information Work-At-Home Requirements Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite, cellular and microwave connection can be used only if approved by leadership. A dedicated space lacking ongoing interruptions to protect member

PHI / HIPAA

information. SSN Alert Statement Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Travel:

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

Job Classification:

Business Operations Specialists, All Other Access our statewide or regional occupation report for more information about wages, employment outlooks, skills, training programs, related occupations, and more. Compensation

Salary:

Not Provided Job Requirements

Experience Required:

 See Job Summary

Education Required:

None

Minimum Age:

N/A Gender:

N/A