- UTMB Health (Galveston, TX)
- HCSS Contracting Specialist (Partial Remote ) **Galveston, Texas, United States** **Hot** Clerical & Administrative Support HealthCare System Staffing ... **Job Summary:** Works under the direction of Contract Administrators and the Contracting Manager to collaborate with Category Managers, Value Analysis, and other… more
- CareFirst (Baltimore, MD)
- …(KSAs)** + Understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated ... business or related field. + 1 year experience in contracting , provider recruitment or provider ...service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external… more
- Molina Healthcare (Long Beach, CA)
- …must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- Molina Healthcare (Bellevue, WA)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider Contract Specialists on negotiation of… more
- OhioHealth (Columbus, OH)
- …And Duties:** Serve as strategic partner to providers and CIN payers (15%): * Provide services to provider network offices for issues related to claims payment, ... Assist in managing, maintaining, and auditing functions related to provider databases for physicians and claims payment to ensure...benefits, and any other term or condition of employment ** Remote Work Disclaimer:** Positions marked as remote … 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 ... professional to join our team as the MedTech Billing & Coding Contract Specialist . This role is essential in developing and implementing strategies that support… more
- CareFirst (Baltimore, MD)
- …and implemented. Provides expert knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and ... submissions. Utilizes coding expertise, combined with medical policy, credentialing, and contracting rules knowledge to build the effective guides and resources for… more
- Molina Healthcare (GA)
- …(eg, Provider Services/ Provider Inquiry Research & Resolution, Provider Contracting / Provider Relationship Management). + Provides timely, accurate ... **_ Remote and must live in Georgia _** **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation… more
- Insight Global (Plantation, FL)
- … contracting within a healthcare setting Strong knowledge of provider enrollment, credentialing standards, and healthcare regulations Proficiency with CAQH, ... Job Description The Contract Administrator and Credentialing Specialist Infusion is a dual-role position ensures that all pharmacy and provider contracts, payor… more
- TEKsystems (Schaumburg, IL)
- …* Contribute to the development and maintenance of contract templates and provide training in contracting practices. Skills Project management, Contract, vendor ... We are seeking a highly knowledgeable and skilled Contracts Specialist to join our dynamic team. The ideal candidate...Collaborate with internal stakeholders to address legal risks and provide solutions. * Provide expert guidance on… more
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