Contract Sourcing Specialist

1 week ago

Granger, United States Beacon Health System Full time

Reports to the Executive Director. Responsible for assisting the Managed Care Executive Team in negotiating, maintenance, problem resolution and internal coordination of assigned managed care contracts and proposals for Beacon Health System. Works with the Managed Care Executive team to manage the contract process for Beacon Health System. Acts as a service representative for internal clients and payors, scheduling in-services as needed and works to provide information to Beacon Entities to enable them to operationalize their managed care agreements. Responsible for maintaining contracting files. Supports the management team by providing input into the strategic planning process. Responsible to assist with the Beacon ACO as directed.

Responsibilities

Maintains coordination for Managed Care contracts with involved entities and is responsible for customer service representation to all clients by:

  • Notifying appropriate entities of all new contracts and any alterations of current contracts.
  • Developing and circulating all quarterly reports.
  • Working on the development of managed care contracts and proposed protocols with the assistance of management.
  • Handling contract negotiation/renewal processes and/or undertaking these tasks as directed and/or necessary with the assistance of management.
  • Works with the Managed Care enrollment team to coordinate the completion of the enrollment paperwork of new payors.
  • Serving as a liaison with attorney regarding contract language.
  • Attend all applicable meetings necessary to obtain approval on proposed agreements by Beacon Entities.
Coordinates Managed Care activities, as well as serving as a liaison to the Hospital Finance Department, by:
  • Maintaining current contracts, credentialing information and roster of clients.
  • Notifying appropriate entities of new payor groups.
  • Coordinating activities and resolving problems of key internal functions such as Accounting, Billing, Collections and Registration.
  • Assisting management with new product design.
  • Assisting in the development and maintenance of policies and procedures to most effectively manage and monitor Managed Care activities.
  • Coordinate with Executive Director for evaluation and modeling of proposed financial terms, making recommendations based upon the financial analysis performed to prepare for counter proposals to payers.
  • Present new contracts and or revised fee proposals to the appropriate Beacon Entity for approval.
Serves as Managed Care System Administrator by:
  • Maintaining current knowledge base on benefit and network designs to act as service representative for internal and external contacts and maintaining payor database.
  • Coordinating and conducting training as needed for administrative staff.
  • Maintaining information on the intranet site.
  • Conduct and/or arrange regular education trainings for contracted managed care companies to ensure managed care provider tools and resources are known.
  • Assess performance of contracted agreements for each Beacon Entity and communicate those findings to management to compose contracting strategies and goals yearly
Qualifications
  • The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a Bachelor's Degree in Business, Economics, Marketing or a related field.
  • A minimum of three years of managed care and group insurance experience, through which a background in Medicaid, Medicare and physician contracting was gained, is required. Preference given to applicants that have experience in contracting for providers/facilities in the State of Michigan.
  • Requires an in-depth knowledge and understanding of employee benefit products/plans, including health/medical, dental and workers compensation, case processing (proposal, renewal, plan design, billing, claims, etc.) and the regulatory provisions of the Health Insurance Portability & Accountability Act of 1996 (HIPAA).
  • Requires well-developed knowledge and understanding of PHO, HMO, PPO and POS healthcare delivery systems.
  • Requires strong skills in organization, time management, research and analysis.
  • Requires an in-depth understanding of contractual language, computer systems, accounting and finance.
Working Conditions
  • Works in an office environment.
  • May be required to vary hours and days, and work on holidays, etc., depending upon the needs of the department.
  • Physical Demands
  • Requires the physical ability and stamina to perform the essential functions of the position.

  • Managed Care Contract Specialist

    1 week ago

    Granger, Iowa, United States Beacon Health System Full time

    Job Description:This role involves assisting the Executive Director in managing managed care contracts and proposals for Beacon Health System. The Managed Care Contract Specialist will work closely with the Managed Care Executive Team to negotiate, maintain, and resolve issues related to assigned managed care contracts and proposals.The ideal candidate...

  • Diagnostic Imaging Specialist

    1 week ago

    Granger, Iowa, United States KPG Allied Full time

    About the JobWe are seeking a highly skilled Diagnostic Imaging Specialist for a 13-week contract in Granger, Indiana.This is a travel position that offers flexibility and variety in a hospital setting.

  • Medical Imaging Specialist for 13-Week Contract

    1 week ago

    Granger, Iowa, United States LeaderStat Full time

    Job Summary:We are seeking a highly skilled Medical Imaging Specialist to join our team for a 13-week contract. As a key member of our radiology department, you will be responsible for operating CT scanners and producing high-quality images to aid in patient diagnosis.About the Role:This is an exciting opportunity to work with our experienced team of...

  • Mobile Radiology Imaging Specialist

    1 week ago

    Granger, Iowa, United States LeaderStat Full time

    LeaderStat, a National staffing and consulting firm dedicated to the healthcare industry, is seeking a skilled Mobile Radiology Imaging Specialist for a 13-week contract in Indiana.About the JobJob Type: Travel Contract (13 weeks)Location: Granger, INThis position offers a unique opportunity to work with a leading healthcare provider while experiencing the...

  • Diagnostic Imaging Specialist

    6 days ago

    Granger, Iowa, United States KPG Allied Full time

    About the RoleKPG Allied is seeking a skilled Diagnostic Imaging Specialist for a 13-week travel assignment in Indiana.Key ResponsibilitiesThis role involves utilizing advanced imaging equipment to capture high-quality diagnostic images of patients, providing exceptional patient care and working closely with healthcare professionals to ensure accurate...

  • Medical Imaging Specialist for 13 Week Contract

    5 days ago

    Granger, Indiana, United States Atlas MedStaff Full time

    About Atlas MedstaffAtlas Medstaff is a premier staffing firm dedicated to matching outstanding talent with exceptional opportunities. Our commitment to excellence and consultative approach has helped us become a leader in the staffing industry.Job OpportunityWe are seeking candidates in the Nuclear Tech profession for a 13 week contract in the Granger,...

  • Diagnostic Imaging Specialist

    6 days ago

    Granger, Iowa, United States KPG Allied Full time

    KPG Allied is seeking a skilled Diagnostic Imaging Specialist to fill a travel position in Granger, Indiana.About the JobThis 13-week assignment offers a competitive compensation package, with an estimated salary range of $120,000 - $150,000 per year, based on 8 hour shifts and 40 hours per week. The pay package also includes a tax-free stipend amount to be...

  • Diagnostic Imaging Specialist

    4 days ago

    Granger, Indiana, United States GQR Healthcare-Allied Full time

    Job Title: Diagnostic Imaging SpecialistAbout the Role:GQR Healthcare-Allied is seeking an experienced travel Echo Technologist to join our team in Granger, Indiana. This 13-week contract will provide a stable and predictable schedule, with guaranteed hours and comprehensive benefits.Responsibilities:This role will involve providing high-quality diagnostic...

  • Medical Imaging Specialist

    4 days ago

    Granger, Iowa, United States KPG Allied Full time

    Job OverviewKPG Allied is currently seeking a skilled Medical Imaging Specialist to fill a travel position in Granger, Indiana.Compensation PackageThe pay package for this role includes a competitive salary of $120,000 per year, based on 40 hours per week and 8 hour shifts. Additionally, a tax-free stipend will be provided.About the JobThis 13-week...

  • Traveling Nuclear Medicine Specialist

    1 week ago

    Granger, Indiana, United States Atlas MedStaff Full time

    Atlas Medstaff is a premier staffing firm dedicated to connecting talented professionals with exceptional opportunities.The company's consultative approach has enabled it to become a leading player in the staffing industry.We are currently seeking highly skilled individuals for a 13-week contract in the Granger, Indiana area.This role presents an excellent...

  • Radiology Imaging Specialist

    1 week ago

    Granger, Iowa, United States KPG Allied Full time

    About the RoleKPG Allied is seeking a skilled Radiology Imaging Specialist to join our team in Granger, Indiana. As a key member of our healthcare staff, you will play a critical role in delivering exceptional patient care and contributing to the success of our organization.Job SummaryWe are currently hiring for a 13-week assignment with a 40-hour workweek....

  • Mobile Vascular Imaging Specialist

    4 days ago

    Granger, Iowa, United States LeaderStat Full time

    LeaderStat, a leading staffing and consulting firm for the healthcare industry, is seeking an experienced Mobile Vascular Imaging Specialist to join their team. This 13-week contract opportunity in Granger, Indiana, offers a unique chance to work with a dynamic company that values expertise and dedication.About the Role:We are looking for a skilled Vascular...

  • Medical Imaging Specialist

    1 week ago

    Granger, Indiana, United States Skyline Med Staff Allied Full time

    Skyline Med Staff Allied, a certified woman-owned business, is seeking a skilled Medical Imaging Specialist to fill a travel opportunity in Georgia. This role offers a unique chance to experience diverse work environments and deliver high-quality patient care.About the JobThis 8-week assignment requires a Nuclear Medicine Technologist with at least one year...

  • Cardiovascular Sonographer Professional

    1 week ago

    Granger, Iowa, United States LeaderStat Full time

    Seeking a seasoned cardiovascular sonographer to join our team at LeaderStat, a renowned national staffing firm specializing in healthcare recruitment and consulting.About the RoleWe are looking for an experienced vascular diagnostic specialist to fill a 13-week contract position. As a travel nurse with LeaderStat, you will be responsible for delivering...

  • Travel Imaging Specialist

    4 days ago

    Granger, Iowa, United States Atlas MedStaff Full time

    Atlas MedStaff is a premier staffing firm dedicated to matching outstanding talent with exceptional opportunities. Our commitment to excellence and our consultative approach has helped us become a leader in the medical staffing industry.Job OverviewWe are currently seeking highly skilled professionals for a 13 week contract in Granger, Indiana. As an Echo...

  • Operating Room Nurse Specialist

    6 days ago

    Granger, Indiana, United States Aequor Healthcare Full time

    Aquor Healthcare seeks a skilled Operating Room nurse to join their team. This 13-week contract offers a competitive salary and benefits package.Job DescriptionWe are looking for a highly motivated and experienced OR nurse to work in Saint Marys, Georgia. The ideal candidate will have a minimum of two years of experience in the operating room setting.The...

  • Behavioral Therapist

    1 week ago

    Granger, Indiana, United States Reaching Milestones Full time

    We are seeking a skilled Behavioral Therapist to join our team at Reaching Milestones, where you will play a vital role in the development and growth of children with special needs.About the Role:This full-time position is responsible for providing direct services to children in a one-on-one setting, using evidence-based Applied Behavior Analysis (ABA)...

  • Urology Specialist Position in Mishawaka, IN

    1 week ago

    Granger, Indiana, United States B2B Staffing Services, Inc. Full time

    Opportunity OverviewMishawaka, IN based B2B Staffing Services, Inc. is currently seeking a skilled Urologist to join their team as a Locum Tenens Physician. This exciting contract position offers the flexibility of locum work and allows you to be part of a dedicated healthcare environment while providing high-quality urological care services.

  • Travel Medical Sonography Specialist

    4 days ago

    Granger, Iowa, United States KPG Allied Full time

    Job Opportunity:KPG Allied is seeking a travel Echo Technologist for a position in Indiana.About the Position:This 13-week assignment requires an experienced Echo Technologist with at least one year of paid experience within the last three years. The ideal candidate will have relevant skills and qualifications, including experience in a hospital setting.Key...

  • Urology Physician Specialist

    6 days ago

    Granger, Indiana, United States B2B Staffing Services, Inc. Full time

    Locum Urologist Opportunity in Mishawaka, INB2B Staffing Services, Inc. invites board-certified or board-eligible urologists to apply for a locum position in Mishawaka, Indiana. This exciting opportunity offers the chance to provide vital 24-hour hospital call coverage while being part of a supportive healthcare environment.Job Description:This locum...