Become a part of our caring community and help us put health first
 

The Contract Tools, Education, Processes Lead (Provider Contract Templates Lead) exercises independent judgment and decision making on complex issues related to our Medicare and Medicaid provider contract templates. Key responsibilities include creation and maintenance of provider contract templates, analysis of federal and state contract requirements, collaborating with internal stakeholders, and recommending process improvements to enhance template effectiveness.

The Contract Tools, Education, Processes Lead (Provider Contract Templates Lead) is responsible for overseeing the development, maintenance, and optimization of provider contracting templates for Medicare and Medicaid lines of business. This role ensures that all contract templates are compliant with regulatory requirements, align with company standards, and facilitate efficient, accurate provider contracting processes. The Lead will collaborate cross-functionally with partner teams to ensure templates reflect current policy and best practices.

Key Responsibilities:

• Develop, draft, and update provider contracting templates for Medicare and Medicaid programs, ensuring compliance with federal, state, and company requirements.
• Analysis of laws, regulations and other requirements related to Medicare and Medicaid provider contracts
• Lead the review and revision of existing contract templates in response to regulatory changes, business needs, or process improvements.
• Collaborate with internal stakeholders to obtain feedback and align templates with business objectives.
• Maintain documentation and version control for all provider contract templates.
• Serve as a subject matter expert for provider contracting language and template-related inquiries.
• Provide training and guidance to contractors and business partners on template use, changes, and rationale.
• Recommend process improvements and lead special projects as needed to enhance template effectiveness and efficiency.

Use your skills to make an impact
 

Required Qualifications

• Minimum 5 years of experience in healthcare contracting (language, build, negotiations)
• Demonstrated expertise in drafting and managing contract language
• Exceptional written communication skills and strong attention to detail
• Ability to work collaboratively across departments and with diverse stakeholders
• Flexible, dynamic personality who works well in a team environment

Preferred Qualifications

• Bachelor's Degree
• Experience analyzing and interpreting federal and state legal requirements
• Familiarity with contract management systems and template automation tools
• Paralegal or legal drafting experience

Additional Information

This role is "remote/work at home" and can be based anywhere in the United State.

Work at Home Information

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$104,000 - $143,000 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 09-26-2025

About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.