- Merck & Co. (North Wales, PA)
- Job DescriptionThe Central Contract Services (CCS) Senior Specialist will function as a vital member of the broader Integrated Account Management team focusing on ... teams to develop, implement, and execute contract strategies. The CCS Senior Specialist will also be responsible for driving continuous improvement of these core… more
- CareFirst (Baltimore, MD)
- …(KSAs)** + Understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated ... business or related field. + 1 year experience in contracting , provider recruitment or provider ...service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external… more
- BayCare Health System (FL)
- …vary) + **Days:** Monday - Friday The Credentialing and Provider Enrollment Specialist Senior will work in a remote role. Responsibilities: + Responsible for ... enrollment activities for BMG providers. + Responsible for tracking a BMG provider 's onboarding from recruitment, contracting , credentialing, provider … more
- CareFirst (Baltimore, MD)
- …process. Coordinates non-par provider /facility case rate negotiations between Provider Contracting , providers and facilities. Follows member contracts to ... to the medical directors. Collaborates with medical directors, sales and marketing, contracting , provider and member services to determine appropriate benefit… more
- CareFirst (Baltimore, MD)
- …and implemented. Provides expert knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and ... submissions. Utilizes coding expertise, combined with medical policy, credentialing, and contracting rules knowledge to build the effective guides and resources for… more
- Parsons Corporation (Centreville, VA)
- …possible. **Job Description:** Parsons is looking for an amazingly talented **Sr. Billing Specialist ** to join our team! In this role you will collaborate with ... to 10% as needed + 8+ experience with Government Contracting + Experience with Costpoint + Experience with federal...truly invest and care about our employee's wellbeing and provide endless growth opportunities as the sky is the… more
- Cordis (Miami Lakes, FL)
- …who keep saving lives. **Responsibilities** **Job Summary:** The Pricing Contract Sr Specialist is responsible for managing the full lifecycle of complex customer ... and strategic accounts, including GPOs and IDNs. The Senior Specialist proactively identifies opportunities to improve contract performance, supports strategic… more
- Spectrum Billing Solutions (Skokie, IL)
- …skills. RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist | Revenue Cycle Contracting Specialist | Medical Billing ... skills. This is a remote or hybrid in-office/ remote role. Your Responsibilities: + Complete provider ...with third-party carriers and government health plans. + Review provider credentialing and contracting information to ensure… more
- Molina Healthcare (Mesa, AZ)
- …governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other ... and ensuring Plan meets contractual and regulatory requirements. + Reviews Provider Agreement, EOC/ Member Handbook, Provider Directory, marketing materials,… more
- Molina Healthcare (Seattle, WA)
- …must live in Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider Contract Specialists on negotiation of… more
- Noblis (Huntsville, AL)
- …accredited institution &_ _10+ years direct, relevant experience in cradle to grave DoD contracting - must have prior Contract Specialist or Contracting ... Responsibilities **Noblis is hiring a Senior Contracts Specialist to support the Threat Systems Management Office (TSMO) onsite in Huntsville, AL.** This position… more
- Valvoline Global (KY)
- …(Job Accountabilities)** + Business Support: Be VGO's subject matter expert for contracting in the corporates services area. Provide information, analysis and ... **Job Purpose** The Procurement Specialist will have spend segment responsibility and ownership...will contribute to vendor selection process, vendor approval and contracting for the category. This position will facilitate strategic… more
- AdventHealth (Maitland, FL)
- …better. **Shift** : Monday- Friday Full time 8am-5pm **Job Location** : Remote **The role you will contribute:** Responsible for credentialing systems including ... and credentialing for various ancillary groups and specialties for which contracting services are provided. Maintains and updates all credentialing systems with… more
- NANA Regional Corporation (Washington, DC)
- …to support our DoS client located in Washington, DC. The Sr. Program Specialist supports the management of all phases of the grant, cooperative agreement, contract, ... administering awards and ensuring compliance, to closing out awards. The Specialist also supports technical representatives, budget and financial officers with… more
- Molina Healthcare (Rockford, IL)
- Molina Healthcare is hiring a Sr Specialist in our Government Contracts department. This role is remote with a high preference for candidates who reside in ... Illinois. The Sr Specialist in our Government Contracts will be responsible for...for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and… more
- Amgen (Washington, DC)
- …Join us and transform the lives of patients while transforming your career. ** Specialist IS Business Systems Analyst - Product Team** **What you will do** Let's ... N SaaS software product features and integrations necessary for pharmaceutical contracting and pricing execution, and for Gross-to-Net forecasting and reporting. The… more
- AmeriHealth Caritas (Philadelphia, PA)
- …us at www.amerihealthcaritas.com . The Community Health Choices (CHC) Home Modification Specialist works within the scope of the service definition for home ... under the Community Health Choices (CHC) Program. The Home Modification Specialist evaluates Participant needs for home accessibility/modification and the existing… more
- Ansible Government Solutions (Malvern, PA)
- …Solutions, LLC (Ansible) is seeking a full-time Compliance & Credentialing Specialist . This work-from-home position is responsible for carrying out various ... of the security and background check processes with candidates via remote correspondence. We strongly desire previous experience navigating federal background… more
- Quanta Services (Aurora, CO)
- …Intermountain Electric (IME)brings decades of experience as a trusted leader in electrical contracting . Founded in 1946, we began as a small company in Denver, CO, ... Intermountain Electric Inc. (IME) is seeking an IT Support Specialist to join their growing team! + Do you...IME. What You'll Do Key Responsibilities: + Customer Support: Provide prompt and courteous technical support to end-users via… more
- RTX Corporation (Tewksbury, MA)
- …Strategic Business Unit (SBU) has an exciting opportunity for a **Principal Specialist , Contracts** within the Global Patriot program area. This role will support ... acumen and subject matter expertise to understand program performance requirements, provide guidance, and influence results in support of program and financial… more
