Provider Contracts Specialist
2 weeks ago
**Remote and must live in New York**
**JOB SUMMARY**:
**JOB DUTIES**:
Negotiates assigned contracts for physician groups and ancillary providers that result in high quality, cost effective and marketable providers. Maintains tracking system andpublish reports according to departmental procedures.
- Initiates, negotiates, generates contracts and amendments from initial draft to full executionutilizing approved standardized contract templates/amendments.
- AssistsManager and/or Director in the negotiation of medical group/IPA.
- Facilitates and resolves claim and configuration issues with impacted departments.
- Participates in other contracting related special projects as directed.
- Supportsnetwork development throughout state to includingresearching, recruiting and negotiating with providers.
- Participates in the evaluation of provider networkand implementation of strategic plans to meet
Molina’s networkadequacy standards.
- Clearly and professionally communicates contractterms, payment structures, and reimbursement rates to physician, hospital and ancillary providers.
- Assistsin analysis and coordination of amendments, reimbursement, and language changes. Requests information of billing codes,services provided and other information needed to completethe contract profile.
- Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes.
- Communicates proactively with other departments in order to ensure effective and efficient business results.
- Participates in other contracting related special projects as directed.
**REQUIRED EDUCATION**:
Bachelor’s Degree or equivalent work experience in health care field including, but not limited to, provider’s office, managed care, or other health care field.
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES**:
5+ years previous experience in contracting with large specialty or multispecialty provider groups.
**REQUIRED LICENSE, CERTIFICATION, ASSOCIATION**:
**PREFERRED EDUCATION**:
Bachelor's Degree
**PREFERRED EXPERIENCE**:
Knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) contracts highly desirable.
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION**: STATE SPECIFIC REQUIREMENTS:
**PHYSICAL DEMANDS**:
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which thereis only mínimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
**Pay Range**: $17.85 - $38.69 / HOURLY
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
-
Provider Contracting Specialist, Experienced
1 week ago
Long Beach, United States Blue Shield of California Full timeThe Network Management team handles provider contracting and provider relations statewide. The Provider Contracting Specialist, Experienced will report to the Sr Manager of Provider Contracting. In this role you will support Medical Group/ IPA and Ho Specialist, Contract, Experience, Contracts, Support, Management, Insurance, Business Services
-
Provider Contracting Specialist, Experienced
1 week ago
Long Beach, United States Blue Cross and Blue Shield Association Full timeYour Role The Network Management team handles provider contracting and provider relations statewide. The Provider Contracting Specialist, Experienced will report to the Sr Manager of Provider Contracting. In this role you will support Medical Group/IPA and Hospital/Facility contracting in Northern California for all Blue Shield products. You will be...
-
Provider Contract Recruiter
1 week ago
Long Beach, United States Dental Health Service Full timeJob Description Job Description You will contribute to the strength of our team approach to collaborative dental health. Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized healthcare company? If you enjoy working with a team of caring and dedicated people,...
-
Provider Contract Recruiter
6 days ago
Long Beach, United States Dental Health Service Full timeJob Description Job Description You will contribute to the strength of our team approach to collaborative dental health.Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized healthcare company? If you enjoy working with a team of caring and dedicated people,...
-
Provider Contract Recruiter
2 weeks ago
Long Beach, United States Dental Health Services Full timeJob DescriptionJob DescriptionYou will contribute to the strength of our team approach to collaborative dental health.Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized healthcare company? If you enjoy working with a team of caring and dedicated people, this...
-
Provider Contract Recruiter
2 days ago
Long Beach, United States Dental Health Services Full timeJob DescriptionJob DescriptionYou will contribute to the strength of our team approach to collaborative dental health.Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized healthcare company? If you enjoy working with a team of caring and dedicated people, this...
-
Contract Specialist
4 weeks ago
Long Beach, California, United States CSULB Full timeCategories: Unit 9 - CSUEU - Technical Support Services, Administrative, Temporary, Full TimeUnder the general supervision of the Contract Manager, and in accordance with all applicable state laws and Trustees and University policies, the incumbent independently performs a wide variety of complex campus-wide contract, contract management and compliance...
-
Assistant Contract Specialist/Contract Specialist
11 hours ago
Virginia Beach, Virginia, United States Naval Supply Systems Command Full timeAssistant Contract Specialist - Performs all cradle to grave procurement duties with assistance or guidance from higher level Contract Specialist as needed. Serves as Contracting Officer within prescribed limitations.Contract Specialist Level I - Performs all cradle to grave procurement functions related to supply and service procurements. May require...
-
Specialist, Provider Network Admin
4 weeks ago
Long Beach, United States Molina Healthcare Full time**Remote and must live in Wisconsin** Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management...
-
Virginia Beach, United States NEXCOM Full timeAssists a higher level Contracts Specialist in performing contracting functions. Duties and Responsibilities: Performs all or a majority of the following representative duties: - Prepares solicitation and purchase order documents. Selects appropriate Contract, Specialist, Contracts Specialist, Assistant, Processing, Retail, Business Services
-
Provider Relations Manager
4 weeks ago
Long Beach, United States Molina Healthcare Full time**Remote and must live in Wisconsin** **Job Description**: Job Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and...
-
Virginia Beach, United States Navy Exchange Full timeJob Description - Assistant Contract Specialist/Contract Specialist (Level I/II) (240000B9)Job DescriptionJob Number: Job Number: 240000B9Primary Location Organization Organization : NEXCOMHQ Pay Range : $45,455 to $59,637Job Summary: Assists a higher level Contracts Specialist in performing contracting functions.Duties and Responsibilities:Performs all or a...
-
Contract Specialist
5 days ago
Virginia Beach, United States Jefferson Wells International Full timeContracts Specialist Location: Virginia Beach, VA Pay Rate: 50-70k/yearly. 1 day offered per week for remote work, other days will be onsite. Job Responsibilities: Create contract summaries and ensure compliance with corporate approval and signing authority matrix policy. Prepare and disseminate information to appropriate employees and...
-
Virginia Beach, United States Navy Exchange Full timeJob Description - Assistant Contract Specialist/Contract Specialist (Level I/II) (240001MI) Job Description Job Number: Job Number: 240001MI Primary Location Organization Organization : NEXCOMHQ Pay Range : $47,591 to $62,440 Job Summary: Assists a higher level Contracts Specialist in performing contracting functions. Duties and Responsibilities: Performs...
-
Specialist, Provider Network Admin
7 days ago
Long Beach, United States Molina Healthcare Full timeJob Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider...
-
Contract Specialist
2 days ago
Manhattan Beach, United States Career Movement Full timeWe are seeking a dynamic Contracts Specialist/Administrator to join our legal team and play a key role in managing a diverse range of contractual agreements. In this pivotal position, you will ensure adherence to legal and regulatory requirements, provide crucial support to the general counsel on special projects, and contribute to mitigating legal risks....
-
Contract Specialist
3 days ago
Manhattan Beach, United States Career Movement Full timeWe are seeking a dynamic Contracts Specialist/Administrator to join our legal team and play a key role in managing a diverse range of contractual agreements. In this pivotal position, you will ensure adherence to legal and regulatory requirements, provide crucial support to the general counsel on special projects, and contribute to mitigating legal risks....
-
Contract Specialist
2 weeks ago
Manhattan Beach, United States Career Movement Full timeWe are seeking a dynamic Contracts Specialist/Administrator to join our legal team and play a key role in managing a diverse range of contractual agreements. In this pivotal position, you will ensure adherence to legal and regulatory requirements, provide crucial support to the general counsel on special projects, and contribute to mitigating legal risks....
-
Contract Specialist
2 weeks ago
Manhattan Beach, United States Career Movement Full timeWe are seeking a dynamic Contracts Specialist/Administrator to join our legal team and play a key role in managing a diverse range of contractual agreements. In this pivotal position, you will ensure adherence to legal and regulatory requirements, provide crucial support to the general counsel on special projects, and contribute to mitigating legal risks....
-
Contract Specialist
2 weeks ago
Manhattan Beach, United States Career Movement Full timeJob DescriptionJob DescriptionWe are seeking a dynamic Contracts Specialist/Administrator to join our legal team and play a key role in managing a diverse range of contractual agreements. In this pivotal position, you will ensure adherence to legal and regulatory requirements, provide crucial support to the general counsel on special projects, and contribute...