- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA- Network Contracting Provider Contract Sr. Specialist II Non-member facing Non-Applicable **Compensation Range/Target: $64,000 - $96,000** ... Commonwealth Care Alliance takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when… more
- 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
- Molina Healthcare (Madison, WI)
- **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
- Molina Healthcare (GA)
- **_ Remote and must live in Georgia _** **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation ... 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
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Provider Talent Acquisition Specialist is responsible for assisting with the mission of ... the network 's growth and provider satisfaction strategies by...of / attendance at recruitment events, conferences etc. The Provider Talent Acquisition Specialist serves as a… more
- Pacific Medical Centers (Renton, WA)
- …regarding network and utilization issues. Responsible for a key role in provider contracting and network relations. Providence caregivers are not simply ... concern. **Requsition ID:** 388692 **Company:** Pacific Medical Jobs **Job Category:** Provider Network **Job Function:** Health Plans Services **Job Schedule:**… 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
- Corewell Health (Grand Rapids, MI)
- …SITE - Priority Health - 1239 E Beltline - Grand Rapids Department Name PH - Provider Network Contracting Employment Type Full time Shift Day (United States ... + Contributes to the contract development and negotiation process for provider network initiatives. Enters/maintains current information in the internal… 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
- 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
- BayCare Health System (FL)
- …to 5:00 PM (may vary) + **Days:** Monday through Friday The Credentialing and Provider Enrollment Specialist is a full-time remote position. This team member ... issues by coordinating with the plans, the CBO and the Managed Care contracting department. Why BayCare? Our network consists of 16 community-based hospitals,… more
- Elevance Health (Boston, MA)
- …for employment, unless an accommodation is granted as required by law. The ** Network Data Specialist I** is responsible for accurate and timely maintenance ... of provider information on claims and provider databases....and system requirements of customers as it pertains to contracting , network management and credentialing. Position requirements:… 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 (Detroit, 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
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …closely with both providers and customers, when there is a dispute raised by a network provider or customer. Maintain comprehensive knowledge of provider and ... company specific policies and procedures. Partner with Provider Contracting , Sales, Medical Management and Operations Department in identifying and resolving … more
- Planate Management Group LLC (Texas City, TX)
- …professional acquisition support services for the Department of Veterans Affairs (VA) Network Contracting Office 4 (NCO4). This mid-level role requires a ... facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering,… more
- Entergy (Beaumont, TX)
- **Job Title:** Materials Management Specialist **Work Place Flexibility:** Onsite **Legal Entity:** Entergy Texas, Inc.-GTX **Please note:** Authorization to work in ... Command implement in Transmission. The primary difference in the material management specialist roles is the additional level of expertise in the operating… more
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