- Magellan Health Services (Albuquerque, NM)
- The Network Contract Specialist will be responsible for creating and maintaining behavioral health provider contracts across the New Mexico territory for ... provider contracting activities in coordination with the Network team and processing all necessary contract -related...position/field. General Job Information Title Network Management Specialist ( Contract Specialist ) Grade 21… more
- Chenega Corporation (Washington, DC)
- Contracting Specialist II Washington, DC Join our Talent Network Contract Specialist II Washington, DC Are you ready to enhance your skills and build ... technology capabilities, to ensure functional optimization in their business. TheContract Specialist IIsupports the Air Force Rapid Capabilities Office (AFRCO) and… more
- Corewell Health (Grand Rapids, MI)
- …an understanding of contracts and passion for problem solving? Priority Health is seeking a Provider Contract Specialist to take ownership of provider ... the contract development and negotiation process for provider network initiatives. Enters/maintains current information in...contracts and contract information in the system contract database. + Provide effective oversight of… more
- Elevance Health (Columbus, OH)
- ** Provider Contract Specialist Manager** Carelon Behavioral Health Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, ... autism and depression, and insightful analytics to improve the delivery of care. The ** Provider Contract Specialist Manager** functions with the expertise in… more
- ManpowerGroup (Meridian, ID)
- Our client, a leading healthcare organization, is seeking a Provider Network Support Specialist to join their team. As a Provider Network Support ... Specialist , you will be part of the Provider Network team supporting Independent Dispute Resolution...2 years of relevant experience, preferably within healthcare administration, provider network support, or contract … more
- Corewell Health (Grand Rapids, MI)
- Job Summary Drive provider network strategies and solutions to improve outcomes and decrease medical expense trends. Develop and implement network engagement ... contract success through analysis of monthly reports + Provide mitigation solutions for gap closure and quality metric...Degree + 5 years of relevant experience of either provider network management experience, health care insurance… more
- AmeriHealth Caritas (Harrisburg, PA)
- **Role Overview:** The Provider Network Contract Representative oversees the daily operations related to Out of Network (OON) agreements, provider ... applications. This role ensures the timely and accurate processing of provider agreements and supplemental packets, maintains detailed records, and supports… more
- HCA Healthcare (Campbell, CA)
- …drafting, reviewing and getting approval from the President of SCCIPA, any Network Provider or ancillary provider contract and its terms. Any deviation ... each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today...(DOFR). This role is responsible for drafting and maintaining Network Provider agreements, at the direction of… more
- Sharp HealthCare (San Diego, CA)
- …virtually, and conducts physician, hospital and/or ancillary meetings, as necessary.Ensures provider network meets all regulatory and accreditation requirements ... orientation/training and other resources to educate providers and key provider staff on Plan products, processes, and contract...to ensure the Plan maintains a compliant and adequate provider network . + Network DevelopmentEvaluates… more
- Molina Healthcare (Cincinnati, OH)
- …recruiting, and negotiating with providers. + Participates in the evaluation of provider network and implementation of strategic plans to meet Molina's ... effective and efficient business results. + Trains and monitors newly hired Contract Specialist (s). + Participates in other contracting related special projects… more