- Centene Corporation (Sacramento, CA)
- …in healthcare administration, business administration or equivalent experience. 4+ years of provider relations or contracting experience in health care, managed ... between providers, the health plan and Corporate including investigating and resolving provider issues. Perform new provider orientations and educate providers… more
- 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 ... the provider network and to meet accessibility, quality...it relates to institutional, ancillary, professional, dental and vendor contracting . Provide subject matter expertise on projects… more
- 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
- LogixHealth (Bedford, MA)
- …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
- Molina Healthcare (Louisville, KY)
- …live in the United States _** **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards ... caring manner.' **Knowledge/Skills/Abilities** * Under the leadership of the AVP, Provider Network Management & Operations, oversees development and… more
- Covenant Health Inc. (Knoxville, TN)
- …reimbursement trends including Medicare, TennCare, etc. + Oversee the Managed Care Contracting Specialist , who coordinates and maintains contracts for Covenant ... Individual must have a solid fundamental understanding of managed care contracting , enrollment and provider (hospital, physician, ancillary, etc.) reimbursement.… more
- Molina Healthcare (Columbia, SC)
- …Carolina or a bordering state _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations...sent as directed by management. * Formats and distributes Provider network resources (eg electronic specialist… more
- Corewell Health (Grand Rapids, MI)
- …within an assigned geographic area. May be requested to present and represent Provider Network Contracting at meeting with external constituencies. + ... for problem solving? Corewell Health is seeking a Senior Provider Contract Specialist to take ownership of...E Beltline - Grand Rapids Department Name PH - Provider Network Contracting Employment Type… more
- Sharp HealthCare (San Diego, CA)
- …to identify potential providers for the Sharp Health Plan provider network .Works closely with utilization management and contracting teams to ensure ... virtually, and conducts physician, hospital and/or ancillary meetings, as necessary.Ensures provider network meets all regulatory and accreditation requirements… more
- Elevance Health (Mason, OH)
- ** Provider Contract Specialist Manager** Carelon Behavioral Health _Location: Hybid 1: This role requires associates to be in-office 1 - 2 days per week, ... insightful analytics to improve the delivery of care. The ** Provider Contract Specialist Manager** functions with the...across value based and fee for service agreements for provider solutions. + Works directly with contracting … more
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