- Corewell Health (Southfield, MI)
- …passion for problem solving? Priority Health is seeking a Senior Provider Contract Specialist to take ownership of affiliated network contracting . In this ... the creation and cultivation of cross-organizational relationships. + May represent contracting at external and Joint Operating Committee meetings. May oversee… more
- Molina Healthcare (San Antonio, TX)
- …and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates in other contracting related special projects as ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more
- Magellan Health Services (Albuquerque, NM)
- The Network Contract Specialist will be responsible for creating and maintaining behavioral health provider contracts across the New Mexico territory for ... Medicare, and Commercial lines of business. This role includes managing provider contracting activities in coordination with the Network team and processing all… more
- HCA Healthcare (Campbell, CA)
- …We care like family! Jump-start your career as a Health Plan Economics Specialist today with HCA Healthcare. **Benefits** HCA Healthcare offers a total rewards ... Come join our team as a Health Plan Economics Specialist . We care for our community! Just last year,...Excel, SQL, Power BI + Provide support for Finance, Contracting , Planning, Budget and Forecasting, and Monthly Performance +… more
- BayCare Health System (FL)
- …(may vary) + **Days:** Monday - Friday The Credentialing and Provider Enrollment Specialist Senior will work in a remote role. Responsibilities: + Responsible for ... + Responsible for tracking a BMG provider's onboarding from recruitment, contracting , credentialing, provider enrollment and transitions in coordination with other… more
- Intermountain Health (Montgomery, AL)
- **Job Description:** The RCO Appeals Specialist is responsible for researching and appealing denied medical claims. Responsible to proactively identify insurance ... denial trends and to then work with Payer Contracting on these issues. **We are committed to offering...State regulations. + Refers appeal cases to the designated Physician Advisor and works with them to obtain support… more
- Trinity Health (Boise, ID)
- …Type:** Full time **Shift:** Day Shift **Description:** **SUMMARY:** The Performance Improvement Specialist serves as a key member of the Saint Alphonsus Health ... health system, hospital, medical practice or payer organization required. + Physician practice management experience preferred. Working knowledge of health care… more
- Chenega Corporation (Rockville, MD)
- …and communication with the HRSA CICP Contracting Officer's Representative (COR), Contracting Officer (CO), Contracting Specialist (CS), CICP Program ... Services Strategic Business Unit** company, is looking for a Physician - Contract Medical Reviewer (CMR) to support the Department...or License to practice in the US as a physician 's assistant or nurse practitioner. + Licensure: Must possess… more
- Elevance Health (Indianapolis, IN)
- …an accommodation is granted as required by law. The **Provider Contract Specialist Mgr** functions with the expertise in managing negotiated pricing loads. ... involving facilities or large health systems, or high-profile provider groups and/or physician groups tied to large hospital systems joining the network including… more
- NANA Regional Corporation (Bozeman, MT)
- Akima is hiring a **Business Support Specialist ** to provide administrative/clerical support services at Northern Rocky Mountain Science Center's (NOROCK) primary ... provide services in the areas of human resources, budget, procurement, contracting , maintenance and facilities, safety and other administrative functions, and… more
- Sonora Quest (Phoenix, AZ)
- …management to develop learning materials and necessary tools for Revenue Specialist 's ongoing success. Provides quality assurance and professional development to ... for the purpose of identifying and communicating any pertinent updates to medical, contracting , and coding policy to fellow revenue staff that may potentially impact… more
- Nuvance Health (Danbury, CT)
- …inpatient level of care. If the case still does not meet, send to the Physician Advisor (PA) for a second level review. * Forward cases that require secondary ... physician review to appropriate resource (eg, Physician ...Denials Management team. * Assists with informing Managed Care contracting team with necessary contractual language to protect organization… more
- Centene Corporation (Nashville, TN)
- …maintaining positive working relationships with participating physicians, participating physician groups (PPG's), multi-specialty groups, and/or ancillary providers ... in a managed health care environment with exposure to provider contracting , servicing benefits interpretation, and internal operations of provider relations.Pay… more
- Molina Healthcare (Seattle, WA)
- …Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- Munson Healthcare (Traverse City, MI)
- …Medicine or surgical specialty + American Board of Wound Management, Certified Wound Specialist Physician + Undersea & Hyperbaric Medical Society (UHMS) Advanced ... of long ‑ term strategic planning for the Program. + Direct Contracting . The Physician shall work closely with the appropriate administrative officers of the… more
- AdventHealth (Altamonte Springs, FL)
- …responsible for the AHMG physician relationship. This includes ongoing physician feedback on performance, strategy, contracting , mediating difficult issues ... **GENERAL SUMMARY:** The Vice President works in partnership with physician and health system leaders to deliver growth and high-quality, high-valued patient care… more
- HCA Healthcare (Brentwood, TN)
- …Qualifications** Performs complex administrative duties and tasks relative to physician recruitment operations, including but not limited to: composing ... marketing collateral and giveaway management. Assists and supports the director physician recruitment and other recruitment staff with activities directly related to… more
- Commonwealth Care Alliance (Boston, MA)
- …provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including ... primary care practices, specialists, physician organizations, hospitals, ancillary and LTSS providers. Key responsibilities include establishing positive working… more
- CenterWell (Phoenix, AZ)
- …workload, space and equipment and center needs. + Oversee daily operations of physician services. + Build strong relationship with specialist , hospitalist, SNF ... the roles of the Center Medical Directors. + Identify physician recruitment needs and collaborate in the hiring and... recruitment needs and collaborate in the hiring and contracting of providers. + Establish work schedules and assignments… more
- CenterWell (Columbia, SC)
- …workload, space and equipment and center needs. . Oversee daily operations of physician services. . Build strong relationship with specialist , hospitalist, SNF ... the roles of the Center Medical Directors. . Identify physician recruitment needs and collaborate in the hiring and... recruitment needs and collaborate in the hiring and contracting of providers. . Establish work schedules and assignments… more