- Corewell Health (Grand Rapids, MI)
- …of contracts and passion for problem solving? Corewell Health is seeking a Senior Provider Contract Specialist to take ownership of provider contracts at ... + Manages the contract development and negotiations process for provider networks initiatives. Enters/maintains current information in the internal contract… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The provider program and communications specialist is a role in the Provider Network Performance department that collaborates with teams across ... organization to plan, organize, and implement programs and related communications within our provider network. A key function of this role is the development of… more
- Aston Carter (Naperville, IL)
- Job Title: Immediate Operations Specialist Job Description We are seeking a highly motivated Operations Specialist to join our dynamic team. You will play a ... daily interactions with providers and oversee service request hubs, including Need Provider , Emergency Requests, and White Glove items. This position is essential… more
- General Dynamics Information Technology (NC)
- …**Experience:** 2 + years of related experience **Job Description:** The **Medicaid Provider Financial Support Specialist ** serves as a key liaison between ... and ensuring timely resolution of issues to maintain smooth business operations. The specialist will ensure that providers have the information they need to navigate… more
- HCR Home Care (East Syracuse, NY)
- …Range: $22.00 - $25.00 Hourly Role and Responsibilities : The LPN Client Relationship Specialist is an office based position and is responsible for the intake of ... referrals made to HCR along with developing and maintaining patient and provider relations. Essential Functions: + Cultivate relationships to help our physicians and… more
- CareFirst (Baltimore, MD)
- …and Professional contracts as well as the contracting of more complex high-performance provider networks. Performs duties to coordinate and support all types of ... provider contracting in accordance with guidelines in order to...relates to institutional, ancillary, professional, dental and vendor contracting. Provide subject matter expertise on projects as needed. Also,… more
- Parkview Health (Fort Wayne, IN)
- …to Contract Specialist and Manager, as well as to the provider network. Delivers outstanding customer service to internal and external customers. Education Must ... Summary Responsible for the participation in translating the provider contracting into System set-up for accurate data...Must have excellent verbal and written communication skills. Must provide own transportation; Will be required to work outside… more
- Centene Corporation (Oklahoma City, OK)
- …network reporting and directories as well as claims payment resolution as it relates to provider set up. + Provide support to the external provider ... (individual, group, ancillary, etc.) are set up accurately in the provider information system for state reporting, claims payment, and directories. Responsible… more
- Aston Carter (Naperville, IL)
- …contractor: Additional headcount for emergency claims Responsibilities and Experience Required: As Provider Support Representative (PSR) you will be a part of a ... of service request hubs which consist of the Need Provider , Emergency request and White Glove items. Responsibilities include...team . Engage daily with potential new leads and provide impeccable support to each individual . Document and… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …identify opportunities for performance improvement and further education. + Summarize and provide feedback to risk adjustment and/or provider group leadership on ... Day + Establish and maintain collaborative relationships with assigned providers / provider offices to improve risk adjustment coding and documentation accuracy and… more