Healthcare Contract Manager

3 weeks ago


Tucson, Arizona, United States CODAC Health Full time
Job Summary

As a key member of the CODAC Health team, the Contracts and Credentialing Specialist will be responsible for managing all aspects of behavioral health treatment service contract administration. This includes developing and managing payer-specific contracts, overseeing the acquisition of provider contracts and agreements, and managing provider AHCCCS, Medicare, and commercial insurance credentialing. The ideal candidate will have a strong understanding of contract administration, billing systems, and healthcare regulations. Additionally, they will be able to negotiate rates with payers, evaluate ACA/ACO rules and regulations, and ensure accurate billing. The Contracts and Credentialing Specialist will work closely with the Billing and Enrollment departments to ensure seamless contract and credentialing updates. This is a critical role that requires strong analytical and communication skills, as well as the ability to work effectively in a fast-paced environment.

Key Responsibilities
  • Develop and manage payer-specific contracts
  • Oversee acquisition of provider contracts and agreements
  • Manage provider AHCCCS, Medicare, and commercial insurance credentialing
  • Negotiate rates with payers
  • Evaluate ACA/ACO rules and regulations
  • Ensure accurate billing
  • Coordinate with AHCCCS payers regarding contract matters and provider credentialing
  • Evaluate and report contract-specific trends, CPT, and ICD10 changes
  • Attend AHCCCS payer data compliance meetings
  • Plan and organize quarterly subcontractor meetings
  • Develop and maintain a computerized tracking system for contract files
Requirements
  • Bachelor's or Master's degree in Business Administration, Management, or related field
  • Three years' experience in contract and billing systems related work
  • Valid Arizona Driver's license and proof of current insurance
  • Familiarity with various ethnic and cultural groups
  • Intermediate to advanced computer skills using MS Office products


  • Tucson, Arizona, United States Pima County Government Full time

    Job SummaryThis role is responsible for managing contracts with external vendors, service providers, and stakeholders. The successful candidate will ensure compliance with legal, financial, and performance requirements throughout the contract lifecycle.Key ResponsibilitiesLeads the development, negotiation, and execution of contracts with external vendors,...


  • Tucson, Arizona, United States Sunbelt Healthcare Full time

    Credentialing Specialist Job DescriptionThe Credentialing Specialist position at Sunbelt Healthcare requires an organized individual with excellent time management skills and relevant industry experience. The successful candidate will be responsible for initial credentialing and contracting of providers for various specialties. Additionally, maintenance of...


  • Tucson, Arizona, United States CONTRACT LAND STAFF LLC Full time

    Job SummaryCONTRACT LAND STAFF LLC is seeking a highly skilled Principal Investigator/Project Manager to join our team in Tucson, Arizona. As a key member of our cultural resource management team, you will be responsible for overseeing the design and implementation of field research projects, as well as managing the business aspects of these projects.Key...


  • Tucson, Arizona, United States Amtec Contract Full time

    Job SummaryWe are seeking a skilled Maintenance Technician/ Mechanic to join our team at Amtec Contract. The successful candidate will be responsible for maintaining and performing basic service on all equipment, pumps, and motors, ensuring the building is always showable for management and customer tours.Key Responsibilities:Maintain and perform basic...


  • Tucson, Arizona, United States Amtec Contract Full time

    Job DescriptionAt Amtec Contract, we are seeking a skilled Maintenance Technician/ Mechanic to join our team. As a key member of our facilities operations team, you will be responsible for maintaining and performing basic service on all equipment, pumps, and motors. Your daily walk-through of the PRC building will ensure that equipment and infrastructure are...


  • Tucson, Arizona, United States Medworks Staffing Inc Full time

    Pain Management OpportunityMedworks Staffing Inc is seeking a skilled Nurse Practitioner to fill a 26-week contract position in Outpatient Pain Management. The ideal candidate will have a strong background in pain management and excellent communication skills.Job Requirements:26 weeks duration40 hours per week8-hour shifts, daysBenefits:Weekly payMedical...


  • Tucson, Arizona, United States Medworks Staffing Inc Full time

    Medworks Staffing Inc is seeking a highly skilled Nurse Practitioner to join their team in a contract position. This opportunity is a great chance to gain experience and work with a reputable healthcare staffing agency.Job DetailsSpecialty: Pain ManagementJob Location: Local contract positionEstimated Salary: $60-70 per hourStart Date: ASAPTotal Hours Per...


  • Tucson, Arizona, United States PRN Healthcare Services Full time

    Explore Arizona's Natural Beauty As a travel healthcare professional with PRN Healthcare Services, you'll have the opportunity to experience the breathtaking landscapes of Arizona while advancing your medical career. From the majestic Grand Canyon to the vibrant red rocks of Sedona, our travel contracts offer a unique blend of adventure and professional...


  • Tucson, Arizona, United States Defense Contract Management Agency Full time

    Job Summary We are seeking a highly skilled Supervisory General Engineer to join our team at the Defense Contract Management Agency. As a key member of our engineering team, you will be responsible for managing surveillance and evaluation of contract requirements, advising personnel on complex system design and integration contracts, and leading engineering...


  • Tucson, Arizona, United States Healthcare Support Full time

    We are seeking a skilled Social Work Master for a local contract position in Tucson, Arizona.Job DetailsSpecialty: Master of Social WorkDiscipline: Social WorkEmployment Type: Local ContractHospice experience is preferred, and a Master's degree is highly valued. Must be licensed in Arizona.About Healthcare SupportHealthCare Support is a trusted partner to...

  • Nurse Care Manager

    4 weeks ago


    Tucson, Arizona, United States Suvida Healthcare LLC Full time

    Job Summary Suvida Healthcare LLC is seeking a skilled Nurse Care Manager to join our team. As a Nurse Care Manager, you will work collaboratively with our multidisciplinary care team to provide high-quality care for our high-risk patients. Your primary responsibility will be to develop and implement organization-wide approaches to problem-solving, tracking,...


  • Tucson, Arizona, United States Atlas MedStaff Full time

    Job Opportunity: Atlas Medstaff is currently seeking skilled professionals for a 13 week contract in the RN (Telemetry) profession in the Tucson area. Our company is dedicated to matching outstanding talent with exceptional opportunities.Key Details:Estimated compensation package based on a usual week of work, inclusive of taxable hourly wage and expected...


  • Tucson, Arizona, United States Tenet-AZ Region Full time

    Welcome to Carondelet Health Network, a healthcare organization dedicated to delivering exceptional patient care and personalized service.As a Registered Nurse - Case Manager, you will play a vital role in ensuring that our patients receive the best possible care and support throughout their healthcare journey. Your expertise and compassion will be...


  • Tucson, Arizona, United States El Rio Community Health Center Full time

    Job SummaryWe are seeking a highly skilled and experienced Associate Health Center Manager to join our team at El Rio Community Health Center. The successful candidate will be responsible for managing the administrative and clinical operational activities of our health centers, ensuring the delivery of high-quality healthcare services to our patients.Key...


  • Tucson, Arizona, United States Raytheon Technologies Full time

    Job DescriptionAt Raytheon Technologies, we're committed to delivering innovative solutions that make a difference in the world. As a Strategic Contracts Portfolio Manager for the Tomahawk Development program, you'll play a key role in leading and overseeing the development portfolio within the Naval Power, Naval Air Missiles (NAM) contracts organization.Key...

  • Contract Specialist

    3 weeks ago


    Tucson, Arizona, United States Pima County Government Full time

    Job Summary:This position is responsible for assisting in the preparation and issuance of requests for proposals, invitations to bid, and requests for quotes for public service contracts and agreements.Key Responsibilities:Reviews and evaluates bids, proposals, and quotes received in response to solicitations, ensuring compliance with procurement...


  • Tucson, Arizona, United States Clinical Outcomes Solutions Full time

    Job Title: Director of Contracts and ProcurementAt Clinical Outcomes Solutions, we are seeking a highly skilled and experienced Director of Contracts and Procurement to join our team. As a key member of our Operations Department, you will be responsible for managing and negotiating contracts with clients and vendors, ensuring compliance with company policies...


  • Tucson, Arizona, United States Clinical Outcomes Solutions Full time

    Job Title: Director of Contracts and ProcurementClinical Outcomes Solutions is seeking a highly skilled Director of Contracts and Procurement to join our team. As a key member of our Operations Department, you will be responsible for managing a wide range of contracts with clients and vendors, ensuring compliance with company policies and procedures.Key...


  • Tucson, Arizona, United States KIHOMAC Full time

    Job SummaryKIHOMAC seeks a seasoned Senior Program Manager to lead a large, 245+ person contract performing work at multiple locations nationwide. The ideal candidate will have 12+ years of professional experience in the required task area, with a minimum of 10 years in airborne test and system integration across multiple fixed-wing and/or rotary-wing and...


  • Tucson, Arizona, United States IT SOLUTIONS CONSULTING Full time

    About the RoleWe are seeking a highly motivated and results-driven Healthcare Account Manager to join our team at IT Solutions Consulting. As a key member of our sales team, you will be responsible for developing new accounts and driving business growth within the healthcare industry.Key ResponsibilitiesProspect and develop new business opportunities within...