Current jobs related to Managed Care Contract Specialist - Greenville, South Carolina - Ob Hospitalist Group

  • Licensed Practical Nurse

    4 weeks ago

    Greenville, South Carolina, United States Samuel Contract Staffing Full time

    Job SummaryWe are seeking a dedicated Licensed Practical Nurse to join our team in a dynamic healthcare environment. As a key member of our plasma donation center, you will play a crucial role in ensuring the safety, comfort, and well-being of our donors throughout their donation experience.Key Responsibilities:Conduct thorough pre-donation medical...

  • Electrical Contracting Specialist

    3 weeks ago

    Greenville, South Carolina, United States Allegiance Industries Inc Full time

    Electrical Contracting ServicesWe are seeking a highly skilled Electrical Contracting Specialist to join our team at Allegiance Industries Inc. in Greenville, SC. As an Electrical Contracting Specialist, you will be responsible for providing high voltage, low voltage, and emergency electrical contracting services for commercial and industrial facilities.Key...

  • Configuration Management Specialist

    4 weeks ago

    Greenville, South Carolina, United States L3 Technologies Full time

    Job Title:Configuration Management SpecialistJob Description:A Configuration Management Specialist provides configuration and data management support to their assigned program(s).The Configuration Management Specialist will be responsible for planning, managing, and reporting on the documentation created to fulfill customer configuration and data...

  • Nurse Care Specialist

    3 weeks ago

    Greenville, South Carolina, United States BAYADA Home Health Care Full time

    BAYADA Home Health Care is a leading provider of home health care services, and we're seeking a skilled Nurse Care Specialist to join our team. As a Nurse Care Specialist, you will provide high-quality patient care in the comfort of their own homes, working closely with our clients and their families to develop personalized care plans that meet their unique...

  • Senior Contract Manager

    4 weeks ago

    Greenville, South Carolina, United States Fluor Full time

    Job Summary:Fluor is seeking a seasoned Senior Contract Manager to oversee subcontract management activities on our projects or act as a lead contract manager on individual Fluor contracts. This role requires direct supervision of Principal subcontract Managers and Contract Administrators, as well as providing project staffing solutions, including workforce...

  • Geriatric Care Specialist

    3 weeks ago

    Greenville, South Carolina, United States Crowne Health Care Full time

    We are seeking a dedicated and compassionate Geriatric Care Specialist to join our team at Crowne Health Care. As a Unit QA / Infection Control RN, you will be responsible for ensuring the highest standards of care for our residents. Your expertise in infection control and quality assurance will be instrumental in maintaining a safe and healthy...

  • Configuration Management Specialist

    3 weeks ago

    Greenville, South Carolina, United States L3 Technologies Full time

    Job Title:Configuration Management SpecialistJob Summary:L3 Technologies is seeking a skilled Configuration Management Specialist to provide configuration and data management support to their assigned program(s).Key Responsibilities: Create and maintain configuration baselines supporting developmental, production, and sustainment programs. Act as a primary...

  • Nurse Care Specialist

    4 weeks ago

    Greenville, South Carolina, United States IntelliChoice Home Care Full time

    Job Summary:As a Nurse Care Specialist with IntelliChoice Home Care, you will provide one-on-one nursing care in the home to critical, complex clients, focusing on trach and/or vent patients of all ages. Our team is dedicated to delivering exceptional patient care and supporting our nurses in their roles.Responsibilities: Provide skilled nursing care to...

  • Nurse Care Specialist

    3 weeks ago

    Greenville, South Carolina, United States IntelliChoice Home Care Full time

    Job Summary:We are seeking a skilled Licensed Practical Nurse (LPN) to provide one-on-one nursing care in the home to critical, complex clients focusing on trach and/or vent patients of all ages. As a Nurse Care Specialist with IntelliChoice Home Care, you will have the opportunity to work with a family-based company that prides itself on dedication,...

  • Physical Therapist

    3 weeks ago

    Greenville, South Carolina, United States BAYADA Home Health Care Full time

    Job Title: Physical Therapist - Home Health Care SpecialistBAYADA Home Health Care is seeking an experienced Physical Therapist to join our team in Greenville, NC. As a Physical Therapist - Home Health Care Specialist, you will be responsible for providing high-quality physical therapy services to adult and geriatric clients in their...

  • Physician - Primary Care Specialist

    4 weeks ago

    Greenville, South Carolina, United States CenterWell Primary Care Full time

    About the RoleWe are seeking a highly skilled and compassionate Primary Care Physician to join our team at CenterWell Senior Primary Care. As a key member of our care team, you will be responsible for providing high-quality, patient-centered care to our seniors.Key ResponsibilitiesEvaluate and treat patients in accordance with standards of careFollow level...

  • Identity Access Management Specialist

    3 weeks ago

    Greenville, South Carolina, United States ShiftCode Analytics Full time

    Job Title:Identity Access Management SpecialistDuration:12-18 Months; Contract to HireLocation:Remote Opportunity***Open for USC, GC, H4-EAD***Job Summary:We are seeking an experienced Identity Access Management Specialist to join our team. The successful candidate will work directly with customers to enhance their Identity Access Management (IAM) program,...

  • Configuration Management Specialist

    3 weeks ago

    Greenville, South Carolina, United States L3Harris Full time

    Job Title: Configuration Management SpecialistJob Summary:L3Harris is seeking a skilled Configuration Management Specialist to provide configuration and data management support to assigned programs. The successful candidate will be responsible for planning, managing, and reporting on documentation created to fulfill customer configuration and data...

  • Radiology Specialist

    4 weeks ago

    Greenville, South Carolina, United States ARMStaffing Full time

    ARMStaffing is seeking a skilled Radiology Specialist to join our team in Greenville, South Carolina.Shift: 8 Hour Day, 07:00:00-15:00:00, 8.00-5Unit Details: NeuroEndovascular, At ARMStaffing, we prioritize our nurses' well-being. We offer:Comprehensive BenefitsDay-1 access to extensive benefits, including Medical, Vision, Dental, Life, and more.Onboarding...

  • Chronic Care Manager

    3 weeks ago

    Greenville, South Carolina, United States Internal Medicine Full time

    Job SummaryInternal Medicine seeks a skilled Chronic Care Manager to join our team. The ideal candidate will have a strong background in healthcare and experience working with patients with multiple chronic conditions.Key Responsibilities:Collaborate with Primary Care Providers and care center staff to provide telephonic management of patients with chronic...

  • Physician - Primary Care Specialist

    2 months ago

    Greenville, South Carolina, United States CenterWell Home Health Full time

    Job Title: Physician - Primary Care SpecialistJoin CenterWell Senior Primary Care, a leading provider of senior-focused primary care, as a Physician - Primary Care Specialist. In this role, you will be part of a dynamic team dedicated to delivering exceptional patient care and improving health outcomes for seniors.About the Role:We are seeking a highly...

  • Project Management Specialist III

    4 weeks ago

    Greenville, South Carolina, United States Fluor Full time

    Job Title: Project Controls Specialist IIIJob Summary:Fluor is seeking a highly skilled Project Controls Specialist III to join our team. As a key member of our project control team, you will be responsible for performing project control activities and/or supervising the preparation of project controls activities for a project or assignment.Key...

  • Registered Nurse

    4 weeks ago

    Greenville, South Carolina, United States Prisma Health Full time

    Transform Healthcare with CompassionPrisma Health seeks a Registered Nurse - Diabetes Care Specialist to deliver comprehensive and seamless services that bridge the gap between clinical and self-management aspects of diabetes and cardiometabolic care. As an integral part of the interprofessional team, you will provide collaborative, comprehensive, and...

  • Pet Care Specialist

    3 weeks ago

    Greenville, South Carolina, United States PetSuites Full time

    Pet Care Specialist Job DescriptionAre you passionate about animals and providing top-notch care? Do you have a knack for creating a safe and welcoming environment for pets? We're seeking a dedicated Pet Care Specialist to join our team at PetSuites!Responsibilities:Provide exceptional care and attention to our furry guests, ensuring their physical and...

  • Nurse Specialist in Diabetes Care

    4 weeks ago

    Greenville, South Carolina, United States Prisma Health Full time

    Job SummaryWe are seeking a highly skilled Registered Nurse to join our team as a Diabetes Care and Education Specialist. This role will be responsible for delivering comprehensive and seamless services that bridge the gap between clinical and self-management aspects of diabetes and cardiometabolic care.Key ResponsibilitiesIntegrate pathophysiology,...

Managed Care Contract Specialist

2 months ago

Greenville, South Carolina, United States Ob Hospitalist Group Full time
{"title": "Managed Care Contract Analyst", "description": "Job Summary

We are seeking a highly skilled Managed Care Contract Analyst to join our team at Ob Hospitalist Group. As a key member of our contracting team, you will be responsible for negotiating and managing contracts with payors to ensure optimal reimbursement for our services.

Key Responsibilities
  • Develop and implement a network development strategy to expand our presence in existing or new markets.
  • Coordinate with payors to obtain agreements and link new locations to existing contracts.
  • Analyze fee schedules to ensure compliance with state and federal regulations.
  • Lead ongoing maintenance and auditing of contract management rate calculations.
  • Makes independent decisions on contracting rates for new agreements and renegotiated agreements.
  • Develop and maintain reports and spreadsheets to document contracting leads and workflow.
  • Be the point of contact for RCM billing questions and issues with health plans/payers.
Requirements
  • 5+ years of managed care contracting and provider relations experience in healthcare.
  • Strong analytical and reporting skills, with a general knowledge of revenue cycle management.
  • Knowledge of contracting language and negotiation principles.
  • Strong critical thinking skills and ability to identify process improvement possibilities.
  • Strong organizational skills and attention to detail.
What We Offer
  • A mission-based company with a strong company culture.
  • Paid time off and holidays.
  • Medical, dental, and vision insurance.
  • Health Savings Account or Flexible Spending Account options.
  • Paid parental leave.
  • Employer-paid basic life and AD&D insurance.
  • Employer-paid short- and long-term disability.
  • 401(k) Savings Plan with ROTH option.
  • Legal Plan.
  • Identity Theft Services.
  • Mental health support and resources.
", "lang_code": "en-US"}