- 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
- BayCare Health System (FL)
- …vary) + **Days:** Monday - Friday The Credentialing and Provider Enrollment Specialist Senior will work in a remote role. Responsibilities: + Responsible for ... enrollment activities for BMG providers. + Responsible for tracking a BMG provider 's onboarding from recruitment, contracting , credentialing, provider … more
- BayCare Health System (FL)
- …vary) + **Days:** Monday through Friday The Credentialing and Provider Enrollment Specialist is a full-time remote position. This team member must currently ... Managed Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist **Location** US:Florida | Business and… more
- CareFirst (Baltimore, MD)
- …process. Coordinates non-par provider /facility case rate negotiations between Provider Contracting , providers and facilities. Follows member contracts to ... to the medical directors. Collaborates with medical directors, sales and marketing, contracting , provider and member services to determine appropriate benefit… 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
- Oregon Tool, Inc. (Portland, OR)
- Sr. Marketing Events Specialist ( Remote ) Apply now " Date:Oct 29, 2025 Location: Portland, OR, United States Company: Oregon Tool Work Location: Portland, OR Go ... make your mark? HOW YOU MAKE AN IMPACT The Sr. Marketing Events Specialist is responsible for the planning, logistics and administrative details for industry,… more
- Parsons Corporation (Centreville, VA)
- …possible. **Job Description:** Parsons is looking for an amazingly talented **Sr. Billing Specialist ** to join our team! In this role you will collaborate with ... to 10% as needed + 8+ experience with Government Contracting + Experience with Costpoint + Experience with federal...truly invest and care about our employee's wellbeing and provide endless growth opportunities as the sky is the… more
- Cordis (Miami Lakes, FL)
- …who keep saving lives. **Responsibilities** **Job Summary:** The Pricing Contract Sr Specialist is responsible for managing the full lifecycle of complex customer ... and strategic accounts, including GPOs and IDNs. The Senior Specialist proactively identifies opportunities to improve contract performance, supports strategic… more
- Molina Healthcare (Mesa, AZ)
- …governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other ... and ensuring Plan meets contractual and regulatory requirements. + Reviews Provider Agreement, EOC/ Member Handbook, Provider Directory, marketing materials,… more
- Molina Healthcare (Seattle, WA)
- …must live in Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider Contract Specialists on negotiation of… more
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