• Network Management Specialist

    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 ... provider contracting activities in coordination with the Network team and processing all necessary contract -related...updates, Letters of Direction, and other required modifications. The specialist will also ensure all contract updates… more
    Magellan Health Services (07/28/25)
    - Save Job - Related Jobs - Block Source
  • 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 ... technology capabilities, to ensure functional optimization in their business. TheContract Specialist IIsupports the Air Force Rapid Capabilities Office (AFRCO) and… more
    Chenega Corporation (06/18/25)
    - Save Job - Related Jobs - Block Source
  • Senior Provider Contract

    Corewell Health (Grand Rapids, MI)
    …of contracts and passion for problem solving? Corewell Health is seeking a Senior Provider Contract Specialist to take ownership of provider ... plans and deploy strategies to move providers to desired contract terms according to guidelines and standards. Provide...geographic area. May be requested to present and represent Provider Network Contracting at meeting with external… more
    Corewell Health (07/30/25)
    - Save Job - Related Jobs - Block Source
  • Provider Contract Specialist

    Corewell Health (Grand Rapids, MI)
    …an understanding of contracts and passion for problem solving? Priority Health is seeking a Provider Contract Specialist to take ownership of provider ... the contract development and negotiation process for provider network initiatives. Enters/maintains current information in...contracts and contract information in the system contract database. + Provide effective oversight of… more
    Corewell Health (07/18/25)
    - Save Job - Related Jobs - Block Source
  • Provider Contract Specialist

    Elevance Health (Columbus, OH)
    ** Provider Contract Specialist Manager** Carelon Behavioral Health Location: Hybid 1: This role requires associates to be in-office 1 - 2 days per week, ... autism and depression, and insightful analytics to improve the delivery of care. The ** Provider Contract Specialist Manager** functions with the expertise in… more
    Elevance Health (07/29/25)
    - Save Job - Related Jobs - Block Source
  • Senior Provider Engagement Network

    Centene Corporation (Jefferson City, MO)
    … reporting and directories as well as claims payment resolution as it relates to provider set up. Provide support to external provider representatives to ... of contact and liaison between assigned providers and the health plan. + Provide issue resolution support for most complex provider contracts by researching… more
    Centene Corporation (07/31/25)
    - Save Job - Related Jobs - Block Source
  • Provider Engagement Network

    Centene Corporation (Nashville, TN)
    … reporting and directories as well as claims payment resolution as it relates to provider set up. + Provide support to the external provider representative ... data + Identify adds, deletes and updates to key provider groups and model contract + Research...the appropriate site operations team for claim adjustment + Provide assistance to providers with website registration + Facilitate… more
    Centene Corporation (07/31/25)
    - Save Job - Related Jobs - Block Source
  • 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 ... contract success through analysis of monthly reports + Provide mitigation solutions for gap closure and quality metric...Degree + 5 years of relevant experience of either provider network management experience, health care insurance… more
    Corewell Health (07/24/25)
    - Save Job - Related Jobs - Block Source
  • Contract Specialist II

    UPMC (Pittsburgh, PA)
    provider is identified as needed in the network to contracting with the provider for services. The Contract Specialist II reviews any alterations in ... provider information department. + Custodian for all Network and Vendor Relations Contract Files. +...and that contract copies are filed. + Provide support to the Network and Vendor… more
    UPMC (07/17/25)
    - Save Job - Related Jobs - Block Source
  • Senior Provider Contracts Specialist

    Molina Healthcare (Traverse City, MI)
    … system lead by developing and maintaining provider contracts in contract management software. * Supports network development throughout state to including ... and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network more
    Molina Healthcare (06/25/25)
    - Save Job - Related Jobs - Block Source
  • Contract Specialist

    HCA Healthcare (Campbell, CA)
    …drafting, reviewing and getting approval from the President of SCCIPA, any Network Provider or ancillary provider contract and its terms. Any deviation ... each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today...(DOFR). This role is responsible for drafting and maintaining Network Provider agreements, at the direction of… more
    HCA Healthcare (07/26/25)
    - Save Job - Related Jobs - Block Source
  • Provider Account Specialist - SHP…

    Sharp HealthCare (San Diego, CA)
    …virtually, and conducts physician, hospital and/or ancillary meetings, as necessary.Ensures provider network meets all regulatory and accreditation requirements ... orientation/training and other resources to educate providers and key provider staff on Plan products, processes, and contract...to ensure the Plan maintains a compliant and adequate provider network . + Network DevelopmentEvaluates… more
    Sharp HealthCare (06/04/25)
    - Save Job - Related Jobs - Block Source
  • Contract Specialist

    Premier Health (Dayton, OH)
    …MAIN ST, DAYTON, 45402 - 1795 Full-Time / 8:00 am- 5:00 pm The Contract Specialist /Paralegal prepares of all physician employment contracts under the guidance of ... in-house legal counsel. The Contract Specialist /Paralegal works directly with in-house counsel...Specialist /Paralegal will also work directly with Premier Physician Network Executives who engage directly with the physicians and… more
    Premier Health (07/03/25)
    - Save Job - Related Jobs - Block Source
  • Contract Specialist III

    Chenega Corporation (Washington, DC)
    …acquisition policy, law, regulation, and guidance, theContract Specialist III will provide support and lead other contract staff in supporting the ... Contract Specialist III Washington, DC Join our Talent Network Come join one of the fastest growing Alaskan Native Owned Small Businesses! Contract more
    Chenega Corporation (06/17/25)
    - Save Job - Related Jobs - Block Source
  • Managed Care Provider Enrollment…

    Stony Brook University (Commack, NY)
    …with the completion of MCO facility credentialing/re-credentialing applications for MCO network contract offerings; monitors and follows-up as needed. Conduct ... Managed Care Provider Enrollment Specialist **Position Summary** At...will be responsible for coordinating and facilitating managed care provider and facility enrollment and network participation… more
    Stony Brook University (07/09/25)
    - Save Job - Related Jobs - Block Source
  • Contract Specialist

    GEHA (Lee's Summit, MO)
    …contact for healthcare providers, addressing inquiries and concerns promptly. + Resolve provider -related issues and disputes efficiently. + Provide support to ... department standards and goals are being met. + Research network service issues. + Coordinate with the Contract...Excel and Access. + Requires analytic skills to evaluate network , provider and member data. + Candidates… more
    GEHA (05/24/25)
    - Save Job - Related Jobs - Block Source
  • 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 ... negotiating with providers. * Participates in the evaluation of provider network and implementation of strategic plans...EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 2 - 4 years provider contract support or negotiation experience in… more
    Molina Healthcare (07/25/25)
    - Save Job - Related Jobs - Block Source
  • Network Specialist

    Transdev (Pearl City, HI)
    …superior partnerships between Transdev Health Solutions and the Transportation Provider Network . The Network Specialist provides support to new providers ... Network Specialist The Network ...+ Develops and maintains positive working relations with the Provider Network + Respond to emails, phone calls… more
    Transdev (06/19/25)
    - Save Job - Related Jobs - Block Source
  • Network Data Specialist

    Banner Health (CO)
    … Manager for claims payments to be made. Prior work experience in provider network planning, process management, or healthcare operations experience is highly ... settings by including remote and hybrid opportunities. As a Network Data Specialist for Banner Plans &... provider information and provides system support in provider network development. 8. Assists with reporting… more
    Banner Health (07/31/25)
    - Save Job - Related Jobs - Block Source
  • Sr. Provider Onboarding Specialist

    Guthrie (Sayre, PA)
    Summary The Senior Provider Onboarding Specialist oversees the onboarding process for permanent, per diem, and temporary providers within Guthrie Medical Group. ... various departments, and ensuring compliance with regulatory standards. The Sr. Provider Onboarding Specialist is responsible for submitting employment… more
    Guthrie (07/23/25)
    - Save Job - Related Jobs - Block Source