Provider Contracting Specialist
4 weeks ago
The Provider Contracting Manager plays a pivotal role in the day-to-day handling of Santa Clara Family Health Plan's provider agreements, ensuring compliance with state and federal regulations. This position requires the ability to negotiate and implement provider agreements, coordinate financial analyses, and participate in Contracting Committee meetings.
Key Responsibilities- Apply state and federal regulations, and Health Plan operational processes to negotiate and implement provider agreements.
- Coordinate the financial analyses of contracts, and actively participate in Contracting Committee meetings.
- Meet and confer with providers, health plans, third party vendors, and other customers.
- Bachelor's Degree in Healthcare Administration, Business, or a related field.
- Minimum four years of experience in managed care or in a healthcare setting in positions requiring routine interaction with internal and external stakeholders.
- Working knowledge of various contracting methodologies for Medi-Cal and Medicare, including fee for service arrangements, capitated agreements and alternative payment methodologies.
General office conditions. May be exposed to moderate noise levels.
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Contract Specialist
4 weeks ago
San Diego, California, United States Nth Generation Full timeJob DescriptionNth Generation is seeking a highly skilled Contract Specialist to join our team. As a Contract Specialist, you will be responsible for supporting the company with respect to contract preparation, negotiation, administration, and management in accordance with company policy and practice.This position operates within the accounting team and...
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Provider Relations Specialist
4 weeks ago
San Jose, California, United States UnitedHealth Group Full timeProvider Relations RepresentativeAbout the RoleWe are seeking a skilled Provider Relations Representative to join our team at UnitedHealth Group. In this role, you will be responsible for building and maintaining strong relationships with physicians, ancillary providers, and their staff to support their understanding and compliance with our contracts,...
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Contract Pricing Specialist
4 weeks ago
San Diego, California, United States Global Channel Management Full timeAbout the Role:As a Contract Pricing Specialist at Global Channel Management, you will play a crucial part in our sales and contract administration processes. With a strong background in sales, customer support, or contract administration, you will be responsible for providing assistance to our Sr. Contracts and Pricing Specialist with new user contract and...
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Contract Abstraction and Lease Specialist
4 weeks ago
San Jose, California, United States Vaco Full timeWe are seeking a highly motivated Contract Abstraction & Spreadsheet Analyst to assist in managing a key client's owned portfolio. This role focuses on reviewing and abstracting contracts related to property sales and commercial real estate transactions.Key Responsibilities:Review, abstract, and manage contracts for commercial real estate...
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Senior Contract Management Specialist
4 weeks ago
San Diego, California, United States Enprovera Corporation Full timeJob Title: Senior Contract Management SpecialistJob Summary:We are seeking a highly skilled Senior Contract Management Specialist to join our team at EnProVera Corporation. As a key member of our contracts management team, you will be responsible for providing contract management services and assisting with the development of contract strategy, planning, and...
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Family Nurse Practitioner
4 weeks ago
San Jose, California, United States Provider Healthcare Full timeJob Summary:We are seeking an experienced Nurse Practitioner to join our team at a community health center in San Jose, California. The ideal candidate will have a passion for providing high-quality, patient-centered care to individuals and families of all ages.Responsibilities:Prescribe and administer treatment, therapy, medication, and other specialized...
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Government Contracting Specialist
2 weeks ago
San Francisco, California, United States Menlo Ventures Management, L.P Full timeWe are seeking a highly skilled Government Contracting Specialist to join our team at Menlo Ventures Management, L.P. As a key architect of our public sector agreements, you will partner with our policy team to design and negotiate pioneering agreements for governments to "red team" our models. You will also work closely with our business team to find ways...
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Hand Surgeon Specialist
4 weeks ago
San Jose, California, United States Concentra Full timeConcentra, a leading healthcare company, is seeking a skilled hand surgeon to join our team as an independent contractor. This contract position is designed to complement your existing practice, offering a unique opportunity to provide specialist services to patients on site at Concentra.As a Concentra Advanced Specialist, you will work collaboratively with...
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Senior Contracts Specialist
1 month ago
San Diego, California, United States Booz Allen Hamilton Full timeJob SummaryAs a Senior Contracts Specialist at Booz Allen Hamilton, you will play a critical role in supporting the development and implementation of procurement strategies for complex Naval and DoD software and hardware-intensive systems. You will leverage your expertise in federal, DoD, and Navy pre-award and post-award contracting procedures to provide...
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Senior Contract Specialist
7 days ago
San Diego, California, United States Booz Allen Hamilton Full timeContract Specialist RoleAs a key member of our team, you will leverage available resources to review, draft, and revise contracting and acquisition documentation. You will provide support in researching federal, DoD, and Navy pre-award and post-award contracting procedures. Your excellent interpersonal skills will enable you to make sound business judgments...
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Nurse Specialist for Home Health Care
4 weeks ago
San Jose, California, United States Healthcare Support Full timeHealthcare Support is seeking a skilled nurse specialist for a home health care contract position in California.Job Description & RequirementsSpecialty: Home HealthDiscipline: RNContract Type: Local ContractDuration: 13 weeksHours: 40 hours per weekShift: 8 hoursAbout Healthcare SupportHealthCare Support has developed a reputation as a top healthcare...
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Contracts Administration Specialist
4 weeks ago
San Carlos, California, United States BioSpace, Inc. Full timeJob Summary:Vaxcyte has an exciting opportunity for an experienced Contracts Administration & Technology Specialist to join our Legal team. Reporting to the Associate Director, Legal, the Contracts Administrator/Paralegal will be responsible for providing contract administration support to our internal client groups.Key Responsibilities:Responsible for the...
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Technical SEO Specialist
4 weeks ago
San Jose, California, United States Akraya Full timeJob Title: Technical SEO SpecialistJob Summary:Akraya is seeking a Technical SEO Specialist to join our dynamic client's Technical SEO team on a fixed-term contract. The role involves analyzing the structure and technical challenges of the websites, developing solutions to enhance search engine crawling and understanding, and requires working on...
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Contract Specialist
4 weeks ago
San Leandro, California, United States Aleron Full timeJob Summary: We are seeking a highly skilled Contract Specialist to join our team at Aleron. The ideal candidate will have experience in Federal Acquisition Regulations (FAR) and Defense Federal Acquisition Regulations (DFAR).Key Responsibilities:Support contract negotiations to address terms, conditions, scope, and price.Assist and advise Program Management...
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Quality Assurance Specialist
1 month ago
San Jose, California, United States Adecco US, Inc. Full timeAdecco is seeking a Quality Assurance Specialist for a direct hire opportunity in San Jose with a contract manufacturer. The ideal candidate will have experience in electronics/PCB inspection and be able to perform in-process and final QC inspections on manufactured parts and assemblies.Key Responsibilities:Perform in-process and final QC inspections on...
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Reimbursement and Contracts Specialist
4 weeks ago
San Diego, California, United States PROMETHEUS LABORATORIES INC Full timeJob DescriptionPrometheus Laboratories Inc. is seeking a skilled Reimbursement and Contracts Specialist to support the Health Systems, Market Access, Payor Relations, and Legal teams. This role will involve managing contracts, facilitating communication between teams, and ensuring that contracts are processed and documented appropriately.Key...
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Women's Health Specialist
3 weeks ago
San Francisco, California, United States Provider Healthcare Full timeDiscover a Rewarding Career in Women's HealthcareAt Provider Healthcare, we're seeking an exceptional Obstetrics & Gynecology Physician to join our team for ongoing locum hospital coverage in Montana. This is an incredible opportunity for a skilled professional to make a meaningful difference in the lives of patients.About the RoleThe ideal candidate will...
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Peer Support Specialist
4 weeks ago
San Jose, California, United States Mental Health Systems, Inc. Full timeJob DescriptionMental Health Systems, Inc. is seeking a dedicated and compassionate Peer Support Specialist to join our team. As a Peer Support Specialist, you will play a vital role in providing education, support, and interventions to clients recovering from mental health and substance use disorders.Key Responsibilities:Provide case consultation, crisis...
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Clinical Psychiatric Specialist
4 weeks ago
San Jose, California, United States MDstaffers Full timeMDstaffers is seeking a qualified Clinical Psychiatric Specialist in San Jose, CA. For more information, please apply or call (866) 90-STAFF. Job DescriptionA Clinical Psychiatric Specialist is needed in San Jose, CA to join an expanding clinic. The ideal candidate will provide high-quality, comprehensive, and compassionate healthcare to patients in need....
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Contract Attorney Position
4 weeks ago
San Jose, California, United States Jobot Full timeJob DetailsWe are seeking a highly skilled Contract Attorney to join our team at Jobot. As a renowned labor and employment plaintiff firm, we are looking for a talented individual to work with us on a contract basis.Key ResponsibilitiesProvide legal services to clients in labor and employment lawWork closely with our team to achieve client goalsStay...