Medicaid - Provider Contracting Analyst - Tampa, FL in Tampa, Florida | DiversityInc Careers

Medicaid - Provider Contracting Analyst - Tampa, FL

Role: Provider Contracting Analyst - MedicaidAssignment: Contracting NegotiationsLocation: 4030 Boy Scout Blvd., Ste 1000 | Tampa, FL 33607 or Work from Home We’re looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise, and this value is reflected in our expectations for providing perfect service to our providers, consumers, employers, agents and others we work with. At Humana, Perfect Service® means getting the basics done right, delivering value and quality, and providing everyone with personalized attention and guidance. We want to engage with our members through every step of their journey to lifelong well-being. This includes meaningful direct consumer interaction and developing positive relationships with healthcare providers. Humana associates provide Perfect Service every day to our providers, members, employers, and colleagues. We’re looking for people who improve their own well-being by looking out for the best interests of others. Assignment CapsuleBe part of the Provider Contracting world at Humana where you will help maintain a competitive network for our members. Humana is seeking a Provider Contracting Analyst who will act as a liaison between Humana and contracted providers. You will collect and analyze multi-faceted data to identify opportunities for improvement and assist with implementation, all while tracking your recommendations.
  • Develop and maintain productive and long-term working relationships with contractors, providers and internal Humana associates.
  • Utilize specialized project management methods to define the scope, logistics and documentation methods needed for various special projects.
  • Analyze and manipulate financial and operational data using various modeling tools.
  • Create and utilize actionable tools, reports and analyses to support Provider Network development activities.
  • Investigate and resolve provider relations issues.

Role Essentials
  • High School Diploma
  • Demonstrated expertise in financial modeling, data preparation and analysis using Excel, Access and other Microsoft applications

Role Desirables

  • Bachelor’s Degree in Finance, Management or a related business field
  • Previous experience in the health solutions industry

Reporting Relationships

You will report to a Manager. This area is under the leadership of the SVP & Chief Operating Officer.

Additional Information

Humana is an organization with careers that change lives—including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you’re ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.

Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
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