Humana Director, Provider Contracting-Behavioral Health in Davenport, Iowa
The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of how organization capabilities interrelate across the function or segment.
The Director, Provider Contracting- Behavioral Health communicates contract terms, payment structures, and reimbursement rates to behavioral health providers. Analyzes financial impact of contracts and terms. Maintains contracts and documentation within a tracking system. Will be responsible for leading a team that works with providers of behavioral/mental health services, across all lines of business Medicare, Commercial, and Medicaid. May assist with identifying and recruiting providers based on network composition and needs. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy.
Dallas, TX is the preferred location for this position. Will consider remote for the right candid ate .
5 plus years provider contracting experience, 3 specific to behavioral health
3 plus years leadership experience, including teambuilding
Proven contract preparation skills, with an in-depth knowledge of Medicare and other reimbursement methodologies
Strong financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Master's or J.D. Degree
Experience with ACO/Risk Contracting
Value based contracting experience
Scheduled Weekly Hours
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