• Provider Contracting

    CareFirst (Baltimore, MD)
    …(KSAs)** + Understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated ... Services to identify and address gaps in accessibility and network adequacy through recruitment and contracting . Ensures...business or related field. + 1 year experience in contracting , provider recruitment or provider more
    CareFirst (09/18/25)
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  • Contracting Specialist II

    Chenega Corporation (Washington, DC)
    Contracting Specialist II Washington, DC Join our Talent Network Contract Specialist II Washington, DC Are you ready to enhance your skills and build ... in monitoring contract performance by reviewing issues and budget constraints and provide basic insights and recommendations. + Contracting Expertise : Apply… more
    Chenega Corporation (09/16/25)
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  • Phys Contracting Specialist

    Premier Health (Dayton, OH)
    **Corporate** **FT/ DAYS/ 80 hours per pay** **Summary of Position** The Physician Contracting Specialist will collaborate with the Director of Physician ... documentation of contractual agreements. **Nature & Scope** The Physician Contracting Specialist will ensure compliance with all...research. 4. Help identify and collaborate to solve physician contracting issues as they arise. 5. Provide more
    Premier Health (07/29/25)
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  • Claims Specialist , Audit…

    LogixHealth (Dania, FL)
    …a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly improve the healthcare industry. You'll contribute to ... review and carry out processes on all out of network claims. The ideal candidate will have strong technological...and company-wide social events. About LogixHealth: At LogixHealth we provide expert coding and billing services that allow physicians… more
    LogixHealth (07/11/25)
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  • Provider Network Specialist

    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 ... relates to recruitment and basic understanding for communication. * Assist in provider network retention, to meet or exceed department goals. * Audit provider more
    OhioHealth (09/24/25)
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  • Senior Specialist , Provider

    Molina Healthcare (GA)
    **_ Remote and must live in Georgia _** **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation ... requirements of internal customers as it pertains to other provider network management areas, such as ...Provider Services/ Provider Inquiry Research & Resolution, Provider Contracting / Provider Relationship Management). +… more
    Molina Healthcare (09/17/25)
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  • Senior Provider Network Contract…

    Pacific Medical Centers (Renton, WA)
    …regarding network and utilization issues. Responsible for a key role in provider contracting and network relations. Providence caregivers are not simply ... concern. **Requsition ID:** 388692 **Company:** Pacific Medical Jobs **Job Category:** Provider Network **Job Function:** Health Plans Services **Job Schedule:**… more
    Pacific Medical Centers (09/18/25)
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  • Provider Relations Development…

    PruittHealth (Norcross, GA)
    …the provider with the contracting /credentialing documents and adds that provider to network contracting tracking. 11. Responsible for provider ... **JOB PURPOSE:** The purpose of the Provider Relations Development Specialist role for...providers that need to be recredentialed including the Delegated Contracting providers and ensuring provider network more
    PruittHealth (09/03/25)
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  • Senior Provider Network Management…

    Corewell Health (Grand Rapids, MI)
    Job Summary Drive provider network strategies and solutions to improve outcomes and decrease medical expense trends. Develop and implement network engagement ... experience + 5 years of relevant experience of either provider network management experience, health care insurance...Rapids Department Name PH - Value Based and Affiliate Contracting Employment Type Full time Shift Day (United States… more
    Corewell Health (09/10/25)
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  • Provider Contracts Specialist

    Molina Healthcare (Long Beach, CA)
    …and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... recruiting and negotiating with providers. * Participates in the evaluation of provider network and implementation of strategic plans to meet Molina's… more
    Molina Healthcare (07/25/25)
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