Contracting Specialist

4 weeks ago

Boston, United States BMC HealthNet Plan Full time
Job Description

It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

Job Summary:

Supports the Provider Network Management Department by assuming the pivotal role of the primary liaison for provider contract implementation and support. An invaluable asset in streamlining the contract submission process and ensuring the seamless integration of provider information into systems, thereby fostering consistency in provider setup and unwavering adherence to best practices.

Our Investment in You:
  • Full-time remote work
  • Competitive salaries
  • Excellent benefits
Key Functions/Responsibilities:

•Champion the contract submission process, diligently upholding corporate standards set by the Health Plan. Secure both digital and hardcopy versions of contracts, ensuring all internal contracts are accounted for and archived appropriately.

•Offer unwavering support to Contract Managers, stepping in whenever needed to facilitate the seamless flow of contract-related activities.

•Masterfully maintain intricate spreadsheets and excel at gathering, tracking, compiling, and disseminating statistical data for daily and monthly contracting reports.

•Play a vital role in collecting and meticulously recording provider contract information, a crucial component for the successful implementation and execution of new and existing provider contracts.

•Keep the contract organization's databases impeccably updated on a daily basis, fostering a culture of data accuracy and integrity.

•Foster seamless coordination with Contracting, Provider Enrollment, and Credentialing teams, ensuring absolute congruence across all Health Plan data systems.

•Under designated assignments, take charge of creating and dispatching provider contracts and amendments, demonstrating precision and efficiency.

•Contribute your expertise to the design and development of network development projects and other provider-related initiatives as assigned.

•Execute all duties and special projects with unwavering dedication, adhering to established timeframes without compromise.

•Maintain exceptional attendance, recognizing it as an integral part of the position's success.

•Showcase your autonomy and exceptional time management skills, expertly juggling multiple assigned tasks.

Supervision Received:
  • Indirect supervision is received weekly.
Qualifications:

Education:
  • Bachelor's degree or an equivalent combination of education, training and experience is required.
Preferred/Desirable:
  • Bachelor's preferred
Experience:
  • 1-3 years experience in insurance, healthcare or managed care required.
Certification or Conditions of Employment:
  • Pre-employment background check
Competencies, Skills, and Attributes:
  • Understanding of contractual documentation.
  • Demonstrated competence using Microsoft Office products, primarily Word, Excel, and Outlook. Knowledge of FACETS Onyx systems helpful.
  • Effective communication skills (verbal and written).
  • Demonstrated ability to work both independently and as part of a team.
  • Must possess excellent organizational skills and be detail oriented with an ability to meet critical deadlines.
Working Conditions and Physical Effort:
  • Work is normally performed in a typical interior/office work environment.
  • No or very limited physical effort required.
  • No or very limited exposure to physical risk.


About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees

  • Contract Manager

    3 weeks ago

    Boston, Massachusetts, United States Hire Talent Full time

    Job Title: Contract Manager - IT Procurement SpecialistWe are seeking a highly skilled Contract Manager to join our team at Hire Talent. As a Contract Manager, you will be responsible for managing the procurement process for IT services and solutions, including SaaS, IT infrastructure, and telecommunications.Key Responsibilities:Develop and implement...

  • Contract Manager

    2 weeks ago

    Boston, Massachusetts, United States Mindlance Full time

    Job Title: Contract Manager - IT Procurement SpecialistJob Summary: We are seeking a highly skilled Contract Manager to join our team at Mindlance. The ideal candidate will have strong procurement and commercial contracting experience, with a focus on the Information Technology sector.Key Responsibilities: Manage multiple procurement projects simultaneously,...

  • Project Coordinator

    3 weeks ago

    Boston, United States Joulé Full time

    Job Title: Project Coordinator - Grants & Contracts SpecialistOverview:Joule has a client seeking a Project Coordinator to work directly on a project. The successful candidate will be responsible for coordinating project activities, ensuring timely completion, and maintaining open communication with stakeholders.Key Responsibilities: Coordinate project tasks...

  • Quality Assurance Auditor

    7 days ago

    New Boston, United States Q3 Contracting, Inc Full time

    It’s an exciting time to join Q3 Contracting! A division of Primoris Services Corporation. We are growing and need to add talent. Q3 Contracting’s goal is to exceed customer expectation with superior service, workmanship and innovative problem solving. If you fit our culture and are looking for a new position, with opportunities to advance and grow with...

  • Part Time Contract Tax Specialist

    2 weeks ago

    Boston, Massachusetts, United States Vaco Full time

    Job Title: Part Time Contract Tax SpecialistVaco is conducting a confidential search on behalf of a leading organization for a part-time Tax Specialist for a highly esteemed educational institution in Boston.The role will start out as a part-time position of 20 hours per week with real potential to advance to a full-time position as a Tax Supervisor or Tax...

  • Residential Electrician Specialist

    2 weeks ago

    Boston, Massachusetts, United States CURRENT CONTRACTING LLC Full time

    Job OverviewWe are seeking a skilled and experienced Residential Electrician to join our team at Current Contracting, LLC. The ideal candidate will have a strong background in roughing in new homes and troubleshooting electrical issues on service calls.Key Responsibilities:Rough-In Electrical WorkInstall electrical wiring, outlets, switches, panels, and...

  • Field Specialist QA Operations Specialist

    2 weeks ago

    Boston, Massachusetts, United States Hays Recruitment Full time

    Job Title: Field Specialist QA OperationsJob Type: ContractLocation: MassachusettsJob Description:We are seeking a highly skilled Field Specialist QA Operations to join our team in Devens, MA. As a Field Specialist QA Operations, you will be responsible for ensuring manufacturing compliance with applicable procedures and batch records, providing real-time...

  • Travel Contract Specialist

    2 weeks ago

    Boston, Massachusetts, United States Healthcare Staffing Plus Full time

    Job SummaryHealthcare Staffing Plus is seeking a skilled Registered Nurse to join our team as a Per Diem Registered Nurse in the Endoscopy Department. As a key member of our team, you will be responsible for providing high-quality patient care and ensuring a smooth and efficient experience for our patients.Responsibilities• Prepares patients for endoscopy...

  • Travel Contract Specialist

    3 weeks ago

    Boston, Massachusetts, United States Healthcare Staffing Plus Full time

    Job SummaryHealthcare Staffing Plus is seeking a skilled Registered Nurse to join our team as a Per Diem Registered Nurse in the Endoscopy Department. As a key member of our team, you will be responsible for providing high-quality patient care and ensuring the smooth operation of our endoscopy procedures.Responsibilities Prepares patients for endoscopy...

  • Grants Financial Specialist

    1 month ago

    Boston, United States Sigma Full time

    747980 Grants Financial Specialist, Boston, MA, 4 Months Contract to Permanent Sigma, Inc. is looking for a Grants Financial Specialist to work onsite with our team located in Boston, MA. This is with the Commonwealth of MA and the Metropolitan Area Planning Council. Will be required to work onsite at 60 Temple Place. Description : The Grants...

  • Diagnostic Imaging Specialist

    3 weeks ago

    Boston, Massachusetts, United States Soliant Full time

    Soliant's partner facility is seeking an experienced Diagnostic Imaging Specialist to fill an 8-week assignment. The ideal candidate will have a minimum of 1+ years of experience in imaging and hold current ARDMS and BLS certifications. The successful candidate will work in a small hospital setting as part of a leading healthcare system. The role will...

  • Procurement Specialist

    2 weeks ago

    Boston, Massachusetts, United States Amentum Full time

    The Procurement Specialist role at Amentum is a critical position that requires a skilled professional to manage the procurement of materials, components, supplies, and services for the company. The ideal candidate will have a strong understanding of procurement procedures, contract requirements, and federal acquisition regulations.The Procurement Specialist...

  • Talent Acquisition Specialist

    2 weeks ago

    Boston, United States Simply Business Full time

    Simply Business is a digital insurance brokerage that specializes in one thing: protecting the businesses our customers are working hard to build. We’re doing this by simplifying the insurance-buying process for all small businesses, blending together a combination of technology, data, and insurance knowledge. Our proprietary technology platform allows...

  • ABA Specialist Mentorship Opportunity

    2 weeks ago

    Boston, Massachusetts, United States Boston Public Schools Full time

    ABA Specialist Mentorship OpportunityWe are seeking experienced ABA Specialists to provide mentoring support to new ABA Specialists. This support will be outside of the current ABA Specialist's contracted working hours.Key Responsibilities:Provide guidance and support to new ABA SpecialistsUse the New Hire Training Tracker to monitor progressCommunicate with...

  • Payroll Specialist

    3 weeks ago

    Boston, Massachusetts, United States Hub Technology Group Full time

    PAYROLL SPECIALISTHub Technology Group is seeking a skilled Payroll Specialist to join our team. As a key member of our finance department, you will be responsible for planning, organizing, and supervising payroll processes to ensure compliance with state and federal laws.Key Responsibilities:Plan and execute payroll processing, including scheduling and...

  • Medical Billing Specialist

    3 weeks ago

    Boston, Massachusetts, United States Sutherland Full time

    Medical Billing/AR SpecialistWe are seeking a highly skilled and detail-oriented Medical Billing/AR Specialist to join our team at Sutherland. As a Medical Billing/AR Specialist, you will play a critical role in ensuring timely and accurate payment collection activity.Key Responsibilities:Conduct collection activity on appealed claims by contacting...

  • Ops Specialist-CA Income

    1 month ago

    Boston, United States BBH Full time

    Job Title: Ops Specialist-CA Income (BOS) Location (On-site, Remote, or Hybrid?): Boston, MA (Hybrid) Contract Duration: Contract until 02/28/2025

  • Fiscal Contracts Officer

    2 weeks ago

    Boston, Massachusetts, United States State of Massachusetts Full time

    Job SummaryThe Fiscal Contracts Officer will play a critical role in managing the grant contracting process, ensuring secure and authenticated signatures, and maintaining detailed digital records. This position will interact with agency staff, vendors, and grantees to facilitate the grant contracting process and monitor contractual compliance.Key...

  • Event Coordination Specialist

    2 weeks ago

    Boston, Massachusetts, United States Global Channel Management Full time

    About the role at Global Channel ManagementAs a skilled Event Coordination Specialist, you will be responsible for coordinating events such as workshops, conferences, and meetings.Key responsibilities include:Coordinating event logistics, including sourcing locations and organizing cateringManaging vendors and contractsCoordinating break-out sessions and...

  • Diagnostic Imaging Specialist

    3 weeks ago

    Boston, Massachusetts, United States Favorite Healthcare Staffing Full time

    Job Title: Diagnostic Imaging SpecialistJob Type: Full-timeLocation: Boston, MAJob Description:The Diagnostic Imaging Specialist operates a CT scanner to obtain images for use by physicians in diagnoses and treatment of pathologies. The specialist provides technical and ancillary support to the department mission through demonstrated clinical and academic...