- Cambia Health Solutions, Inc (Portland, OR)
- …opportunity for residents of OR, WA, ID and UT Primary Job PurposeThe Provider Contract Management Specialist (PCMS) is responsible for support to ensure ... contract information in the contract database (eg Care Management, Audit teams).The Provider Contract Management Specialist Senior (PCMSS) is more experienced… more
- CareFirst (Baltimore, MD)
- … provider networks. Performs duties to coordinate and support all types of provider contracting in accordance with guidelines in order to maintain and enhance ... the provider network and to meet accessibility, quality...of projects as it relates to institutional and vendor contracting . Provide subject matter expertise on projects… more
- Apex Health Solutions (Houston, TX)
- … network (s) Supports the network development team with provider outreach and contracting processes Obtains and maintains required documentation from ... external stakeholders to ensure prompt and appropriate action is taken regarding provider network development related activities Supports network development… more
- LogixHealth (Bedford, MA)
- …a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly improve the healthcare industry. You'll contribute to ... review and carry out processes on all out of network claims. The ideal candidate will have strong technological...and company-wide social events. About LogixHealth: At LogixHealth we provide expert coding and billing services that allow physicians… more
- Centene Corporation (Harrisburg, PA)
- …educational outreach with a focus on improving quality and financial outcomes within the provider network . Act as liaison between providers and the health plan ... license. **Federal Services Only:** 2-4 years of Managed Care and Value-Based provider contracting and Value-Based Payments (VBP) experience required. The… more
- Medical Mutual of Ohio (Rossford, OH)
- …best possible health and quality of life. Under general supervision, supports provider contracting department by developing and maintaining familiarity with ... will be hybrid (in-office & work from home)._** **_The Provider Contract Support Specialist position allows you...or a health plan organization, which includes exposure to provider contracting and/or provider payment… more
- Magellan Health Services (Boise, ID)
- …outreach and engagement plan. Responsibilities include building and maintaining an adequate provider network to meet the needs of the member population. ... include provider site visits, in-person & virtual provider meetings, and representing network on client... adequacy, network trends, and recruitment to Network Management and internal Magellan teams. + Provide… more
- Scripps Health (San Diego, CA)
- …management in Managed Care Operations to facilitate effective processes. Assists in network contracting ensuring ease of implementation of contracts and ... with Scripps Health for over 10 years. The Senior Provider Relations / Contract Specialist is the...Specialist is the liaison between the medical groups, network providers and Scripps Clinic Health Plan Services. Decision… more
- Molina Healthcare (Salt Lake City, UT)
- …recruiting, and negotiating with providers. + Participates in the evaluation of provider network and implementation of strategic plans to meet Molina's ... and system requirements of customers as it pertains to contracting , network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** Negotiates assigned… more
- Corewell Health (Southfield, MI)
- …+ Contributes to the contract development and negotiation process for provider network initiatives. Enters/maintains current information in the internal ... and contract information in the system contract database. + Provide effective oversight of contract implementation process ensuring all...27777 Franklin Rd - Southfield Department Name PH - Provider Contracting Employment Type Full time Shift… more
- Guthrie (Sayre, PA)
- Position Summary: The Provider Enrollment Specialist reporting to the Payor Contracting & Provider Enrollment Manager plays an essential role in ensuring ... by providers. Of key importance is accurate and timely entry of provider data, resolving issues and barriers with payor credentialing teams. Proactive internal… more
- CACI International (Washington, DC)
- Network Operations Specialist Job Category: Information Technology Time Type: Full time Minimum Clearance Required to Start: Public Trust Employee Type: Regular ... tool sets such as TrueSight; monitor bandwidth utilization and provide traffic analysis + Perform Tier 2 network...well as less technical colleagues + Understanding of federal contracting environment, a plus + Hands on experience utilizing… more
- TEKsystems (Honolulu, HI)
- …on Oahu!! Description: Manages individual and group provider relationships in network for provider recruitment, standard contracting , onboarding, claims ... ALOHA! Seeking a " Provider Network Representative" in Honolulu, Hawaii....provider office visits to resolve servicing issues, gather provider market intelligence, contract related concerns and provide… more
- Insight Global (Houston, TX)
- …researching, recruiting and negotiating with providers. Participates in the evaluation of provider network and implementation of strategic plans to meet Molina's ... adherence to business and system requirements of customers as it pertains to contracting , network management and credentialing. 50% of their day will consist… more
- Chenega Corporation (Washington, DC)
- Contract Specialist III Washington, DC Join our Talent Network Come join one of the fastest growing Alaskan Native Owned Small Businesses! Contract Specialist ... of Defense, and Air Force acquisition policy, law, regulation, and guidance, theContract Specialist III will provide support and lead other contract staff in… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- Summary The Biomedical Equipment Support Specialist (BESS) provides clinical and administrative support to staff, patients, and administrators for all matters of ... the application of engineering and mechanical concepts and methodology to provide lifecycle management and technical support of diagnostic, therapeutic devices,… more
- Veterans Affairs, Veterans Health Administration (Roseburg, OR)
- …clinical application software as needed. Executes VA policy when responding to network incident response. Functions as a Contracting Officer Representative (COR) ... Summary The Biomedical Equipment Support Specialist (BESS) works within the FMS Engineering Service at the VA Roseburg Health Care System in Roseburg, Oregon. This… more
- Veterans Affairs, Veterans Health Administration (Togus, ME)
- …until positions are filled. Responsibilities The Biomedical Equipment Support Specialist (BESS) provides clinical and administrative support to staff, patients, ... as imaging, life support, dialysis, and monitoring to include physical and network support. Coordinates and works effectively with other facility support departments… more
- Actalent (Vancouver, WA)
- …Program Support Specialist 2 position is part of the Contracting Officer's Representative (COR) Support function within the Supplemental Labor Management Office ... meetings, including presentations, working groups, and task forces involving contracting -related issues and customer driven improvement opportunities. Provide … more
- Applied Research Solutions (Tampa, FL)
- **Description** Applied Research Solutions is seeking a full-time Acquisition Specialist located at MacDill AFB, FL in support of Special Operations Forces ... committed to operationally focused acquisition activities that enhance the global SOF network through SOF AT&L engagement at the operational level. **Why Work with… more
