- Aflac (FL)
- Provider Network Recruiter The Company: Aflac Columbus The Location: FL, US The Division: Dental & Vision Job Id: 8317 Salary Range: $70,000- $90,000 Job Posting End ... it take to be successful in this role? + Experienced in external facing contract review and negotiations + Efficient and concise communication skills both verbal and… more
- Centene Corporation (Queens, NY)
- …to identify and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care + Uses data analytics to track ... prepare departmental budget + Initiate and execute standard physician and ancillary provider contracts + Coordinate all pre- contract activities with providers… more
- The Cigna Group (Chattanooga, TN)
- …with health care data analysis, medical cost trend analysis and health care provider contract analysis + Understanding of managed care business ... marketplace. **Responsibilities** + Provide analytical and strategic support of health care provider rate negotiations + Identify opportunities for medical … more
- Organon & Co. (Plymouth Meeting, PA)
- …Medicare, and Medicaid. Serve as an expert on DRG hospital and provider reimbursement. + **Customer Engagement:** Provide customer-facing support to troubleshoot ... experienced professional to join our team as the MedTech Billing & Coding Contract Specialist. This role is essential in developing and implementing strategies that… more
- CVS Health (Columbus, OH)
- …to, claims payment, contract interpretation, and parameters or accuracy of provider contract or demographic information + Coaches more junior colleagues in ... while meeting and exceeding accessibility, compliance, quality, and financial goals and cost incentives + Manages contract performance in support of network… more
- Molina Healthcare (Sterling Heights, MI)
- …Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- Centene Corporation (Tallahassee, FL)
- …to the provider + Facilitate and provide oversight to the provider set-up and contract configuration to ensure accurate claims adjudication + Evaluate ... guidelines. This position will focus on our Behavioral Health provider network. + Recruit and develop provider ...ancillary) and ensure that negotiations result in the unit cost targets expected and meet the objectives of the… more
- Planate Management Group LLC (Florida City, FL)
- …facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, ... US federal agencies, all over the world. We are seeking an experienced Contract Specialist II to join our team in providing professional acquisition support services… more
- Molina Healthcare (Ramapo, NY)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- Lumeris (NH)
- … Engagement Specialist **Position Summary:** Responsible for improving Accountable Care Team ( Provider ) engagement. Establishes significant "mindshare" within ... Works to positively influence ACT behavior empowering value based care , quality and cost & utilization. Plays...on the belief that it should be easier to provide the right care , at the right… more