- Elevance Health (Atlanta, GA)
- …office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The ** Provider Contract Cost of Care Consult ... ** Provider Contract Cost of Care Consult...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more
- Corewell Health (Grand Rapids, MI)
- …contracts and passion for problem solving? Corewell Health is seeking a Senior Provider Contract Specialist to take ownership of provider contracts at ... and training to less experienced Specialists. Essential Functions + Manages the contract development and negotiations process for provider networks initiatives.… more
- Corewell Health (Grand Rapids, MI)
- …skilled negotiator with an understanding of contracts and passion for problem solving? Priority Health is seeking a Provider Contract Specialist to take ... guidance in others. Essential Functions + Contributes to the contract development and negotiation process for provider ...contracts and contract information in the system contract database. + Provide effective oversight of… more
- Elevance Health (Los Angeles, CA)
- Provider Contract Consultant **Location:** This role requires associates to be in-office **1-2** days per week, fostering collaboration and connectivity, while ... and adaptable workplace. Alternate locations may be considered. The ** Provider Contract Consultant** will be creates and...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more
- Avera (Des Moines, IA)
- … Forward for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans ... to join and remain in the network. + Maintain provider manual and policies and maintain contract ...PTO available day 1 for eligible hires. + Free health insurance options, for full-time single coverage… more
- Covenant Health (Lubbock, TX)
- …At least 8 years of experience in the healthcare field, specifically in health insurance marketing claims and contract negotiation. + **Healthcare ... the Managed Care Contracting Program, guiding our organization through contract analysis, negotiation, execution, and organizational alignment. Based in...Knowledge:** In-depth knowledge of current health care trends, health insurance ,… more
- AdventHealth (Maitland, FL)
- …and claims analytics strongly preferred. + Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical ... Repayment Program - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Provider Contract Specialist - Remote **Cost Center:** 682891009 SHP-Administration ... shifts (United States of America) **Job Description:** **JOB SUMMARY** Provider Contract Specialist (PCS) is responsible for...waive with strong work experience. Prior experience working with health care insurance or insurance … more
- BrightSpring Health Services (Charlotte, NC)
- …home, transportation, shopping and more. Responsibilities + Receive the Individual into the Provider 's home and to provide the Individual with appropriate daily ... Our Company ResCare Community Living Overview A Host Home provider is an independent contractor who opens their home and heart to an adult with a development… more
- Highmark Health (Buffalo, NY)
- …+ Master's Degree **EXPERIENCE** **Required** + 5 years in the Health Insurance industry + 1 years with Provider Contract Negotiations **Preferred** ... related to assigned hospital providers. + Responsible for end-to-end provider contract administration and maintenance for assigned...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- Henry Ford Health System (Troy, MI)
- …continuum of services - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual ... 9. Assist in the development and revision of department policies and processes. 10. Provide guidance and assist other Contract Administrators. 11. Provide … more
- Henry Ford Health System (Detroit, MI)
- …continuum of services - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual ... a professional capacity. + Knowledge of managed care organizations and integrated health systems. + Previous contracting, provider relations and/or provider… more
- Avera (Sioux Falls, SD)
- …or Work Experience:** + Minimum of three years of applicable experience with health insurance with focus on provider relations, contracting and ... Health Plans integration conversations with existing and potential provider groups. + Responsible for accurate provider ...PTO available day 1 for eligible hires. + Free health insurance options, for full-time single coverage… more
- The Cigna Group (Bloomfield, CT)
- …+ Deep familiarity with health insurance data, including contract structure and methodologies, claims, eligibility, provider and benefit data required. ... tool or application as needed. + Strong understanding of Provider Contracting & contract negotiations. In-depth understanding...of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll… more
- VNS Health (Manhattan, NY)
- …off (PTO), starting at 20 days of paid time off and 9 company holidays + Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and ... existing and potential providers. + Prepares materials for and orient providers to contract terms and operating requirements, Health Plan program and eligibility… more
- Logan Health (Kalispell, MT)
- At Logan Health , we're more than just a healthcare provider -we're a community. Nestled in the heart of Montana, we are committed to delivering exceptional care ... and Be Trusted | Work Together | Strive for Excellence. Join Our Payer Enrollment Contract Specialist Team at Logan Health ! Location: Logan Health Medical… more
- Sharp HealthCare (San Diego, CA)
- … provider orientation/training and other resources to educate providers and key provider staff on Plan products, processes, and contract terms, both orally ... and provider communications to ensure compliance with regulations and contract requirements.Coordinates plan medical group and provider transitions and… more
- RWJBarnabas Health (Oceanport, NJ)
- …serving as a single point of contact for contractual matters in order to provide contract resolution. + Knowledge of Supply Chain automated functions (preferably ... Clinical Contract Manager, RemoteReq #:0000195297 Category:Purchasing/Materials Management Status:Full-Time Shift:Day...& Long Term Disability + Life & Accidental Death Insurance + Tuition Reimbursement + Health Care/Dependent… more
- Sutter Health (Sacramento, CA)
- …outcomes. + Strong knowledge of provider reimbursement terms for all provider types, including value-based contract terms. + Negotiation and communication ... compliance as it relates to Knox-Keene, Department of Managed Health Care, Department of Insurance , Medi-Cal CMS,...+ Strong organizational skills. + Ability to interpret payer contract provisions and work through complex payer- provider … more
- Motion Recruitment Partners (Durham, NC)
- … $37/hr - $37/hr Our client, a nationally recognized and award-winning company in the health insurance vertical, has a contract opening for a Vendor Manager ... + Collaborate with Category Management, Strategic Sourcing, and business units to provide inputs to RFPs, vendor contract negotiations, SLAs, results and,… more