- CareFirst (Baltimore, MD)
- …(KSAs)** + Understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated ... Services to identify and address gaps in accessibility and network adequacy through recruitment and contracting . Ensures...business or related field. + 1 year experience in contracting , provider recruitment or provider … more
- Chenega Corporation (Washington, DC)
- Contracting Specialist II Washington, DC Join our Talent Network Contract Specialist II Washington, DC Are you ready to enhance your skills and build ... in monitoring contract performance by reviewing issues and budget constraints and provide basic insights and recommendations. + Contracting Expertise : Apply… more
- 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 ... documentation of contractual agreements. **Nature & Scope** The Physician Contracting Specialist will ensure compliance with all...research. 4. Help identify and collaborate to solve physician contracting issues as they arise. 5. Provide … more
- LogixHealth (Dania, FL)
- …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
- Molina Healthcare (Cleveland, OH)
- **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... requirements of internal customers as it pertains to other provider network management areas, such as ...Provider Services/ Provider Inquiry Research & Resolution, Provider Contracting / Provider Relationship Management). +… more
- Queen's Health System (Honolulu, HI)
- … Network (QCIPN) and assigned providers for recruiting, onboarding, and network support activities. * Coordinates and facilitates provider onboarding and ... assigned providers based on their needs and investigates and resolves provider operational issues. * Maintains comprehensive knowledge and understanding of various… more
- PruittHealth (Norcross, GA)
- …the provider with the contracting /credentialing documents and adds that provider to network contracting tracking. 11. Responsible for provider ... **JOB PURPOSE:** The purpose of the Provider Relations Development Specialist role for...providers that need to be recredentialed including the Delegated Contracting providers and ensuring provider network… more
- Corewell Health (Grand Rapids, MI)
- Job Summary Drive provider network strategies and solutions to improve outcomes and decrease medical expense trends. Develop and implement network engagement ... experience + 5 years of relevant experience of either provider network management experience, health care insurance...Rapids Department Name PH - Value Based and Affiliate Contracting Employment Type Full time Shift Day (United States… more
- Molina Healthcare (Cincinnati, OH)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... recruiting and negotiating with providers. * Participates in the evaluation of provider network and implementation of strategic plans to meet Molina's… more
- Magellan Health Services (Albuquerque, NM)
- …and Commercial lines of business. This role includes managing provider contracting activities in coordination with the Network team and processing all ... The Network Contract Specialist will be responsible...the New Mexico territory + Perform provider contracting functions in collaboration with the Network … more
- City of New York (New York, NY)
- Job Description ONLY CANDIDATES WHO ARE PERMANENT ADMINISTRATIVE CONTRACT SPECIALIST OR WHO ARE ELIGIBLE FOR APPOINTMENT FROM THE OPEN COMPETITIVE ADMINISTRATIVE ... CONTRACT SPECIALIST LIST WILL BE CONSIDERED FOR THIS POSITION. The...of Youth and Community Development (DYCD) invests in a network of community-based organizations and programs to alleviate the… more
- 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, ... insightful analytics to improve the delivery of care. The ** Provider Contract Specialist Manager** functions with the...across value based and fee for service agreements for provider solutions. + Works directly with contracting … more
- Elevance Health (Hanover, MD)
- …relations preferred. + Training development and presentation experience strongly preferred. + Provider relations, and network contracting experience strongly ... ** Network Relations Specialist MD Market** **Location...providers and practice managers within Maryland's local health plan's provider delivery system. Researches and resolves operational issues. **How… more
- Ventura County (Ventura, CA)
- Telecommunications Network Specialist II/III Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4902218) Apply Telecommunications Network ... Working within the Network Services Division, under direction the Telecommunications Network Specialist II (TNS II), or under general direction the… more
- St. Luke's University Health Network (Allentown, PA)
- … Specialist is responsible for assisting with the mission of the network 's growth and provider satisfaction strategies by supporting the recruitment of ... attendance at recruitment events, conferences etc. The Advanced Practice Talent Acquisition Specialist serves as a resource to employees, managers and applicants in… more
- Air Combat Command (Seymour Johnson AFB, NC)
- …squadron with a variety of installation and functional area organizations. Assists with contracting functions and budget preparation. As a senior IT specialist , ... such as enterprise architecture, systems administration, systems analysis, and network integration; applying the organization's policy and planning formulation… more
- HCA Healthcare (Campbell, CA)
- …of Financial Responsibility (DOFR). This role is responsible for drafting and maintaining Network Provider agreements, at the direction of the President of ... and getting approval from the President of SCCIPA, any Network Provider or ancillary provider ...+ In conjunction with the CFO, finance team and Contracting team, provide analysis and recommendations for… more
- Molina Healthcare (Ann Arbor, 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
- Interactive Government Holdings, Inc. (Springfield, VA)
- …Senior Contract Support Specialist for the Department of Veterans Affairs Network Contracting Office West. This position will support Acquisition Support ... Senior Contract Specialist - VA Acquisition Support Services Category Procurement...support the Contracting Office and the Government Contracting Officer in their decision-making. Provide procurement… 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