- Henry Ford Health System (Troy, MI)
- …continuum of services - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual ... areas of the company and affect contractual arrangements with providers ; manage and maintain operational and technical aspects of...and the State of Michigan Office of Financial and Insurance Services. + Effectively communicates contract terms… more
- Corewell Health (Grand Rapids, MI)
- …with a deep understanding of contracts and passion for problem solving? Corewell Health is seeking a Senior Provider Contract Specialist to take ownership ... executive network development plans and deploy strategies to move providers to desired contract terms according to...lifecycles on behalf of either third party payers or health care providers + 7 years of… more
- Elevance Health (South Portland, ME)
- …contracting and negotiating contract terms. Typically works with the most complex providers . Complex providers may include, but are not limited to large ... institutional providers , large medical groups and ancillary providers ,...provide an equivalent background. **Preferred Qualifications:** + 3 years contract negotiation experience, preferably within health plan/managed… more
- Corewell Health (Grand Rapids, MI)
- …negotiator with an understanding of contracts and passion for problem solving? Priority Health is seeking a Provider Contract Specialist to take ownership of ... the key contact and subject matter expert for all contract related activities - this could include but is...lifecycles on behalf of either their part payer or health care providers Preferred + 5 years… more
- Corewell Health (Grand Rapids, MI)
- …and competitive intelligence through secondary sources as it relates to payers and providers and health care policy to increase knowledge providing leverage for ... to creatively design contracts that add value for Corewell Health . Lead tactically by helping junior staff with complex.... Lead tactically by helping junior staff with complex contract terms and negotiating techniques to help prepare for… more
- Medical Mutual of Ohio (Dublin, OH)
- …2 years of experience as a Provider Contract Manager or equivalent experience in health insurance or a health care related field. **Technical Skills and ... Mutual is the oldest and one of the largest health insurance companies based in Ohio. We...to internal and external office personnel. . Determines if providers were paid according to contract terms.… more
- Elevance Health (Louisville, KY)
- **Provider Contract /Cost of Care Consultant** **Locations:** This role requires associates to be in-office **1-2** days per week, fostering collaboration and ... eligible for current or future VISA sponsorship._ The **Provider Contract /Cost of Care Consultant** provides analytical support to the...an Impact:** + Uses analytic tools to track both health risks and compliance, as well as supporting the… more
- Matrix Providers (Usaf Academy, CO)
- Psychologist - Behavioral Health Optimization Program (BHOP) Location: USAF Academy, CO, United States Healthcare Provider Type : Ancillary Services (MQS) START YOUR ... APPLICATION (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=3404379&source=3404379-CJB-0) Experience the Matrix Providers Advantage. Matrix Providers strive to provide… more
- Elevance Health (Columbus, OH)
- **Provider Contract Specialist Manager** Carelon Behavioral Health Location: Hybid 1: This role requires associates to be in-office 1 - 2 days per week, ... required by law._ A proud member of the Elevance Health family of companies, Carelon Behavioral Health ,...and classifications. + Enrollment System: Manages the enrollment of providers into insurance plans, ensuring they meet… more
- Highmark Health (Pittsburgh, PA)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... Description :** **JOB SUMMARY** This job manages contracts including negotiations, contract development, contract renewal, and financial reimbursement. Acts as… more