- 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
- 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 (Tucson, AZ)
- …educational outreach with a focus on improving quality and financial outcomes within the provider network . Act as liaison between providers and the health plan ... to enhance the business relationship. + Conduct initial provider orientations as well as ongoing educational outreach + Educate providers regarding policies and… more
- Medical Mutual of Ohio (Dublin, 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
- Molina Healthcare (NY)
- …to business and system requirements of customers as it pertains to contracting , network management and credentialing. **JOB DUTIES** : Negotiates assigned ... **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 5+ years previous experience in contracting with large specialty or multispecialty provider groups.… 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
- 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
- Magellan Health Services (Albuquerque, NM)
- …of 3 years experience in related position/field. General Job Information Title CISC Senior Network Specialist Grade 23 Work Experience - Required Network ... meet network adequacy standards and assure quality network . - Conducts and coordinates contracting and...resolution and complex trouble shooting for providers. - Conducts provider education and provider relation activities, providing… more
- Elevance Health (Tampa, FL)
- ** Network Data Specialist I** **Location: Must be located within 50 miles of Miami, FL or Tampa, FL** **This position will be working 1 day per week in the local ... office and will work 4 days from home** The ** Network Data Specialist I** is responsible for...and system requirements of customers as it pertains to contracting , network management and credentialing. **Minimum Requirements:**… 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
- US Army Communications Electronics Command (Fort Detrick, MD)
- …for vacant positions. Responsible for leading contract efforts in conjunction with contracting office to award and monitor IT task orders. Plans, analyzes, and ... information technology knowledge and extensive experience with information systems to provide technical support advice and guidance. Develops and negotiates work and… more
- Molina Healthcare (Grand Rapids, MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider ...business results. * Trains and monitors newly hired Contract Specialist (s). * Participates with the management team and other… 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 (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
- Army National Guard Units (Columbia, SC)
- …award, contract performance management, and interpretation of contract law in order to provide the best, most efficient contracting strategies in support of the ... This National Guard position is for a T5 CONTRACT SPECIALIST , Position Description Number T0050000 and is part of...United States Property and Fiscal Office (USPFO) Purchasing and Contracting office or an ANG Base Contracting … 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
- MetroLink (Los Angeles, CA)
- Contract Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4472709) Apply Contract Specialist Salary $59,645.00 - $92,450.00 ... + Benefits + Questions SUMMARY PURPOSE OF POSITION The Contracts Specialist performs quality control checks, confirms that contract and procurement processes… more
- TEKsystems (Honolulu, HI)
- …will call or email you. Description: + Manages individual and group provider relationships with insurance to include standard contracting , onboarding, claims ... TEKsystems in Hawaii is looking for a Healthcare Specialist to support one of the local healthcare...controlling unnecessary costs. + Ensures that contract and regulatory network adequacy requirements are met by continuously developing new… more