- CareFirst (Baltimore, MD)
- … provider networks. Performs duties to coordinate and support all types of provider contracting in accordance with guidelines in order to maintain and enhance ... (KSAs)** + Deep understanding of multiple reimbursement methodologies used in healthcare provider contracting . + Proven ability to build strong collaborative… more
- Parkview Health (Fort Wayne, IN)
- Summary Responsible for the participation in translating the provider contracting into System set-up for accurate data maintenance within HPS systems, including ... Specialist and Manager, as well as to the provider network. Delivers outstanding customer service to internal and...Must have excellent verbal and written communication skills. Must provide own transportation; Will be required to work outside… more
- Molina Healthcare (Everett, WA)
- …live in the United States _** **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards ... Network Mgmt & Operations with an emphasis on value based provider contracting . **Required License, Certification, Association** N/A **Preferred Education**… more
- Molina Healthcare (Hattiesburg, MS)
- …must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy ... timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals,… more
- Molina Healthcare (Naperville, IL)
- …must live in Illinois _** **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
- BayCare Health System (Largo, 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
- Centene Corporation (Phoenix, AZ)
- …+ Receive and effectively respond to external provider related issues + Provide education on health plan's innovative contracting strategies + Initiate data ... in related field or equivalent experience. 0-2 years of provider relations or contracting experience. Knowledge of...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- RTX Corporation (Columbia, SC)
- …2025-04-28 **Country:** United States of America **Location:** HSC99: Field Office - SC Remote Location, Remote City, SC, 29201 USA **Position Role Type:** ... Aerospace, a leader in aerospace and defense innovation, as a Principal Specialist , Contracts in our Electronic Systems portfolio of Thermal Electronics and Defense… more
- Centene Corporation (Newark, NJ)
- …fresh perspective on workplace flexibility. **Position Purpose:** Perform health plan provider orientations and conduct ongoing educational outreach with a focus on ... improving quality and financial outcomes within the provider network. Act as liaison between providers and the health plan to enhance the business relationship. +… more
- Spectrum Billing Solutions (Skokie, IL)
- …skills. RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist | Revenue Cycle Contracting Specialist | Medical Billing ... our team has the option to work 100% fully remote . Your Responsibilities: + Complete provider credentialing...with third-party carriers and government health plans. + Review provider credentialing and contracting information to ensure… more