Teams at Humana

Leads hospital and health system contract negotiations, including reimbursement, renewals, amendments, and value-based agreements. Evaluates payment methodologies, analyzes financial impacts, communicates contract terms to providers, and maintains contracting documentation. Partners with finance, legal, claims, network management, and operations teams to ensure contracts are financially sound and executable. Supports provider recruitment and network development while managing Medicare Advantage, Medicaid, and managed care contracting activities.

Sells Humana’s group dental, vision, life, and disability insurance products to employers with 50 or more eligible employees. Develops broker, agent, and consultant relationships; identifies new business and cross-selling opportunities; negotiates products and rates; delivers presentations; supports post-sale activities and enrollment; maintains CRM records; and executes territory strategies to increase sales, retention, and profitability.

Analyzes Medicare Risk Adjustment financial results, develops and maintains financial models, explains variances and trends, and translates complex financial and operational drivers into actionable insights. The role supports forecasting, budgeting, strategic planning, regulatory impact analysis, financial reporting, compliance, and revenue accuracy. It collaborates with Corporate Finance, Risk Adjustment Operations and Compliance, and analytics teams to maintain accurate, documented, and controlled processes.