Managed Care Contracting Specialist

3 days ago


Henderson, Nevada, United States P3 Health Partners Full time
About P3 Health Partners

P3 Health Partners is a physician-led organization dedicated to guiding our communities to better health, unburdening clinicians, aligning incentives, and engaging patients.

Job Summary

We are seeking a highly skilled Network Contracting Manager to join our team. The ideal candidate will have a strong background in managed care contracting, negotiation, and network development.

Key Responsibilities
  • Develop, negotiate, and manage contractual arrangements with providers to ensure superior access to high-quality, cost-effective healthcare services.
  • Support network development and contracting with payer negotiations and implementations.
  • Participate in new network expansions and future organizational opportunities.
  • Act as a liaison for various contracting and operational projects for hospitals, ancillary providers, and physicians.
  • Coordinate managed care contracting for acquisitions and networks.
  • Coordinate and produce monthly network contracting reports.
  • Oversee various network contracting processes.
  • Apply approaches and methodologies to accomplish project deliverables, such as analysis, documentation, and training.
  • Handle confidential and non-routine information.
  • Deliver assigned projects on time and compliant with applicable state and federal regulations.
Requirements
  • Bachelor's Degree preferred or equivalent experience.
  • Minimum of five years of specific work experience in managed care contracting, including network expansion projects, hospital contracting, primary and specialty physician contracting, and ancillary contracting.
  • Strong knowledge of CMS reimbursement methodologies, including capitation, per visit, per diem, DRG, APC, and value-based incentives.
  • Excellent interpersonal skills, with the ability to handle sensitive and confidential situations.
  • Excellent verbal and written skills, with the ability to interact and communicate with individuals at all levels of the organization and external parties.
  • Ability to work in a fast-paced environment, with demonstrated ability to juggle multiple competing tasks and demands.
  • Excellent planning and coordinating skills.
  • Ability to travel, with occasional overnight stays.


  • Henderson, Nevada, United States P3 Health Partners Full time

    About P3 Health PartnersP3 Health Partners is a physician-led organization dedicated to guiding our communities to better health, unburdening clinicians, aligning incentives, and engaging patients.Job SummaryWe are seeking a highly skilled Network Contracting Manager to join our team. The ideal candidate will have a strong background in managed care...


  • Henderson, Nevada, United States Elevance Health Full time

    Position Title: Care Management Outreach SpecialistLocation: This role will require a combination of remote and in-office work. Candidates should ideally be located within a 50-mile radius of our PulsePoint facilities.The Care Management Outreach Specialist is tasked with establishing communication between Care Management initiatives and designated members....


  • Henderson, Nevada, United States Summit Contracting Asphalt & Concrete Full time

    About the RoleWe are seeking a seasoned Pavement Maintenance Specialist to join our team at Summit Contracting Asphalt & Concrete.Key Responsibilities:Prepare detailed estimates for civil construction projects involving asphalt paving, milling, concrete, and preventive maintenance.Build and maintain long-term business relationships with clients through...


  • Henderson, Nevada, United States P3 Health Partners Full time

    About P3 Health PartnersP3 Health Partners is a physician-led organization dedicated to guiding our communities to better health, unburdening clinicians, aligning incentives, and engaging patients.Job SummaryWe are seeking a highly skilled Network Contracting Manager to join our team. The successful candidate will be responsible for developing, negotiating,...

  • CDL Driver

    5 days ago


    Henderson, Nevada, United States Summit Contracting Asphalt & Concrete Full time

    Job SummaryWe are seeking a skilled CDL Driver to join our team at Summit Contracting Asphalt & Concrete. As a key member of our pavement construction team, you will be responsible for safely operating a heavy or tractor-trailer truck with a capacity of at least 26,000 pounds Gross Vehicle Weight (GVW).Key Responsibilities:Safely Operate Heavy Equipment:...

  • Contract Administrator

    4 months ago


    Henderson, Nevada, United States Equinox Gold Full time

    Equinox Gold is a growth-focused Canadian mining company operation entirely in the Americas, with projects in Canada, the USA, Mexico, and Brazil. We have seven operating gold mines and a clear path to achieve more than one million ounces of annual gold production from a pipeline of development and expansion projects. Equinox Gold's team of proven and...

  • Private Duty Nurse

    12 hours ago


    Henderson, Nevada, United States At Home Healthcare Full time

    About the Role:The Licensed Vocational Nurse at At Home Healthcare plays a vital role in delivering high-quality medical care and support to children with diverse healthcare needs. As a skilled care specialist, you will work collaboratively with the RN Case Manager to fulfill patient-specific care plans, ensuring that all patient needs are fully...


  • Henderson, Nevada, United States AAMCO Transmissions and Total Car Care Full time

    Job SummaryAAMCO Transmissions and Total Car Care is seeking a skilled Automotive Technician/Transmission Specialist to join our team. As a key member of our service department, you will be responsible for diagnosing, rebuilding, and repairing complex automotive transmission systems.Key ResponsibilitiesTransmission System Repair and RebuildingDiagnose and...


  • Henderson, Nevada, United States Massage Envy Las Vegas Full time

    Position OverviewSalary: $12 per hourAre you passionate about providing exceptional service? Do you excel in sales?Join our team at Massage Envy Las Vegas, where we prioritize wellness and customer satisfaction. As a Customer Care and Sales Specialist, you will play a vital role in our mission to enhance the well-being of our clients. Your responsibilities...


  • Henderson, Nevada, United States Aerotek Full time

    Job OverviewPosition Title: Equipment Maintenance SpecialistIn the role of Equipment Maintenance Specialist, you will be responsible for executing essential preventive maintenance tasks under the guidance of management. Your commitment to safety protocols is vital when it comes to modifications, setups, preventive maintenance, and the movement of equipment....


  • Henderson, Nevada, United States Samuel Contract Staffing Full time

    Job SummaryWe are seeking a dedicated and compassionate Medical Care Specialist to join our team at Samuel Contract Staffing. 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 medical screenings...


  • Henderson, Nevada, United States Tire Choice Auto Service Centers Full time

    Job DescriptionTire Choice Auto Service Centers is seeking a highly motivated and customer-focused Guest Care Sales Specialist to join our team. As a key member of our sales team, you will be responsible for providing exceptional guest service and driving sales of automotive repair services and tires.Key Responsibilities:Provide a superior guest experience...


  • Henderson, Nevada, United States VadaTech Inc. Full time

    Position OverviewVadaTech Inc. is a prominent entity in the realm of embedded computing solutions. We are currently in search of an Inventory Management Specialist to oversee stock levels and ensure efficient inventory control. This role is crucial in maintaining the necessary inventory to fulfill distribution requirements, as well as performing kitting...


  • Henderson, Nevada, United States Thunderbolt Inc Full time

    The city of Essen is seeking a highly skilled Specialist for Specialized Arboriculture and Urban Tree Safety to join the Department 67 - Green and Gruga team at Thunderbolt Inc. This is a full-time position in pay group 9b TVöD/MEIST, with an indefinite contract.The successful candidate will be responsible for the following key tasks:Conducting and...


  • Henderson, Nevada, United States INSPYR Solutions Full time

    Position Title: Senior Application Support Specialist Location: Henderson, NV *Local candidates preferred Duration: To be determinedCompensation: $50-60 per hour Work Eligibility: Must be a U.S. Citizen, Green Card Holder, or possess authorization to work in the United States.INSPYR Solutions is actively seeking a Senior Application Support Specialist...


  • Henderson, Nevada, United States SilverTech Full time

    **About the Role**SilverTech is seeking a highly skilled Neurology Specialist to join our team in the field of neurology. As a specialist in this field, you will be responsible for providing expert care to patients suffering from various neurological conditions.**Key Responsibilities**Diagnose and treat patients with neurological disorders, including...

  • Pipeline Specialist

    4 days ago


    Henderson, Nevada, United States Phoenix Innovations Full time

    **About the Role**At Phoenix Innovations, we're seeking a skilled Pipeline Specialist to join our team. As a key member of our operations team, you'll play a crucial role in shaping the future of our company.**Key Responsibilities**Construct and install supply lines (gas/water) to ensure efficient and safe operationsInstall house connections for supply...

  • Urology Specialist

    4 days ago


    Henderson, Nevada, United States NovaTech Industries Full time

    Job DescriptionJob Title: Specialist in UrologyAbout the Role:We are seeking a dedicated and experienced urology specialist to join our team at NovaTech Industries.As a urology specialist, you will be responsible for providing high-quality medical care to patients with urological conditions.You will work closely with our team of healthcare professionals to...


  • Henderson, Nevada, United States VadaTech Inc. Full time

    Job DescriptionVadaTech Inc. is a leading Electronics boards design and manufacturing company. We deliver superior quality Electronics equipment to Communication, Defense, and Aerospace sectors.The Manager of Quality for electronics manufacturing is primarily responsible for sampling units, process and procedures, and applying statistical techniques to...


  • Henderson, Nevada, United States KYYBA Full time

    Job OverviewPosition Title: Mechanical Assembly SpecialistCompany: KYYBAContract Duration: 12 monthsRole Summary:The Mechanical Assembly Specialist is responsible for operating machinery and production tools in a safe and efficient manner, adhering to quality and productivity standards within a manufacturing setting. This role involves assisting in the...