• Phys Contracting Specialist

    Premier Health (Dayton, OH)
    **Corporate** **FT/ DAYS/ 80 hours per pay** **Summary of Position** The Physician Contracting Specialist will collaborate with the Director of Physician ... maintenance, and documentation of contractual agreements. **Nature & Scope** The Physician Contracting Specialist will ensure compliance with all applicable… more
    Premier Health (07/29/25)
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  • Claims Specialist , Audit…

    LogixHealth (Dania, FL)
    Location: On-Site in Dania, FL This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly improve the ... we're committed to Making intelligence matter through our pillars of Physician -Inspired Knowledge, Unrivaled Technology and Impeccable Service. To learn more about… more
    LogixHealth (07/11/25)
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  • MSO Healthcare Contract Specialist

    HCA Healthcare (Campbell, CA)
    …worth of each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today and find out what it truly means ... vary by location._** **Job Summary and Qualifications** The Contract Specialist is responsible for understanding the terms of all...and PPO contracts, and at the direction of the Contracting Team, interface with health plans to negotiate HMO… more
    HCA Healthcare (07/26/25)
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  • Senior Specialist , Provider Contracts…

    Molina Healthcare (Dallas, 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
    Molina Healthcare (10/03/25)
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  • Contract Specialist

    Premier Health (Dayton, OH)
    …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 ... Maintain familiarity with federal and state laws and regulations which govern physician arrangements. The Contract Specialist /Paralegal will also work directly… more
    Premier Health (10/02/25)
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  • Provider Contracts Specialist (LOA's)

    Molina Healthcare (Long Beach, CA)
    …California _** **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
    Molina Healthcare (07/25/25)
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  • Network Management Specialist (Contract…

    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
    Magellan Health Services (09/12/25)
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  • Enrollment Ancillary Specialist

    AdventHealth (Maitland, FL)
    …the role of the Managed Care department in that mission. + Supports the contracting team, internal departments, ancillaries, and physician groups, and owned PHOs ... and credentialing for various ancillary groups and specialties for which contracting services are provided. Maintains and updates all credentialing systems with… more
    AdventHealth (10/04/25)
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  • Specialist , Legal and Risk

    Children's Mercy Kansas City (Kansas City, MO)
    …beyond the walls of our hospital. Overview The Legal and Risk Specialist provides professional support to the Attorneys, Insurance Program Manager, Contract Program ... in response to inquiries about all lines of insurance coverage and about contracting issues. This position participates in special projects and will assist with… more
    Children's Mercy Kansas City (08/29/25)
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  • MedTech Billing & Coding Contract…

    Organon & Co. (Plymouth Meeting, PA)
    …professional to join our team as the MedTech Billing & Coding Contract Specialist . This role is essential in developing and implementing strategies that support ... and Medicaid. The role will also support the development of a contracting strategy for the MedTech business. **Responsibilities** + **Billing and Coding Acumen:**… more
    Organon & Co. (09/06/25)
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  • Clinical Data Abstraction Specialist

    Apex Health Solutions (Houston, TX)
    Job Title: Clinical Data Abstraction Specialist Supervisor: Director, VBC Operations Required License(s)/ Certification(s): Certified Risk Adjustment Coder (CRC), ... Certified Professional Coder (CPC), or Certified Coding Specialist (CCS) FLSA Status: Nonexempt Summary: Clinical Data...three (3) years of experience in a hospital, a physician setting or a Managed Care Organization as a… more
    Apex Health Solutions (09/26/25)
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  • Quality Practice Manager (QPM) Las Cruces…

    LifePoint Health (Las Cruces, NM)
    …Ongoing learning and career advancement opportunities. *Qualifications and requirements* Memorial Physician Practices consist of 8 primary care-based clinics and 15 ... growth by helping to identify opportunities for developing primary care provider and/or specialist leads to close gaps in network services and access. * Perform… more
    LifePoint Health (08/09/25)
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  • Clinical Denials Specialist

    UHS (Binghamton, NY)
    …OverviewUnited Health Services (UHS) is seeking a proactive and analytical Clinical Denials Specialist to join our Revenue Cycle team. In this vital role, you will ... at a time. Primary Department, Division, or Unit: UHS Managed Care Contracting Primary Work Shift: Day Regular Scheduled Weekly Hours: 40 Compensation Range:… more
    UHS (09/09/25)
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  • Sales Outreach Specialist

    Cedars-Sinai (CA)
    …the use of Cedars-Sinai specialty services to referring entities including physicians, physician groups, and IPAs. The Specialist leads and participates in ... healthcare industry Sales experience. Must have healthcare reimbursement and contracting experience. Experience in cardiovascular, pharmaceutical, and/or medical device… more
    Cedars-Sinai (07/19/25)
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  • Senior Strategic Sourcing Specialist

    Beth Israel Lahey Health (Charlestown, MA)
    …and finance on cost savings initiatives specifically relating to contracting operations + Leads and/or staffs multi-disciplinary teams to select/standardize ... contracting choices that maximize supply chain savings while meeting...more of contract negotiating experience. + Expertise in healthcare physician preference items and knowledge of clinical commodity items… more
    Beth Israel Lahey Health (07/24/25)
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  • Provider Contract Specialist Manager

    Elevance Health (Columbus, OH)
    **Provider Contract Specialist Manager** Carelon Behavioral Health Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering ... insightful analytics to improve the delivery of care. The **Provider Contract Specialist Manager** functions with the expertise in managing negotiated pricing loads.… more
    Elevance Health (10/04/25)
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  • Provider Onboarding Specialist

    Spectrum Healthcare Partners (South Portland, ME)
    …in our busy multi-specialty healthcare setting. + Responds to all physician /provider inquiries while delivering a top-notch service facilitated through multiple ... solutions to providers and the Company + Works collaboratively with Payor Contracting , Finance, Revenue Cycle Management, HR and clinical operation to support… more
    Spectrum Healthcare Partners (09/19/25)
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  • Clinical Denials Prevention & Appeals…

    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
    Nuvance Health (09/26/25)
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  • Provider Contracts Manager HP - Core

    Molina Healthcare (Syracuse, NY)
    **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
    Molina Healthcare (09/25/25)
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  • Wound Care Medical Director (MD/DO)

    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
    Munson Healthcare (09/16/25)
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