Director of Provider Contract Configuration
2 hours ago
Director of Provider Contract Configuration / Hybrid
Hybrid position (requiring 2 days in the Manhattan office and 3 days remote)
Position Overview
The Director of Provider Contract Configuration is responsible for evaluating operational processes and procedures for process improvement of the Organizations Core Applications. Will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing.
Job Description
- Oversee development and implementation of short/long term business objectives
- Direct and support initiatives to focus on projects with plan wide benefit in accordance with corporate budgetary objectives
- Ensure provider contracts are configured timely and accurately
- Oversee functions performed by delegated vendor(s) as it relates to benefit configuration, claims processing, provider setup and account payable system
- Manage activities and communications between key business stakeholders and Core System Vendor for implementation of new systems and optimization of current systems
- Develop and oversee SDLC methodology, including business requirements creation and sign-off, Quality Assurance, User Acceptance Testing, Production and Postproduction activities
- Address operational matters by working with business units to identify system solution to operational issues
- Participate and advise in new business/operational initiatives
- Provide guidance on current and future system capabilities
- Identify areas of operational improvement, promote strategic relationships with business areas, vendor, governmental and partner organizations
- Work with provider reimbursement tools, collaborate with Claims Operations, Utilization Management, and Network Management to setup pricing methodologies
- Facilitate improvement of the payment transaction process by interacting with providers and finance team
- Manage project implementation of upgrades and new products as it relates to Core Systems
- Bachelor’s Degree from an accredited college or university.
- A minimum of 10 years of healthcare systems experience such as process improvement, project management or system configuration.
- Project Management and Staff Supervision a plus
#ZRCompany DescriptionRCM Health Care Services’ mission is to provide opportunities for qualified candidates across medical professions. We deliver timely results and have built a reputation of trust with our clients and candidates. Since 1975, we have been providing staffing solutions to many of the finest healthcare institutions across the nation and careers for thousands of candidates. As professional career opportunity matchmakers, we follow up and follow through to help our clients and candidates to reach their career and life goals. We proudly hold the Joint Commission Gold Seal of Approval as well.Company DescriptionRCM Health Care Services’ mission is to provide opportunities for qualified candidates across medical professions. We deliver timely results and have built a reputation of trust with our clients and candidates. Since 1975, we have been providing staffing solutions to many of the finest healthcare institutions across the nation and careers for thousands of candidates. As professional career opportunity matchmakers, we follow up and follow through to help our clients and candidates to reach their career and life goals. We proudly hold the Joint Commission Gold Seal of Approval as well.
-
Director of Provider Contract Configuration
3 weeks ago
New York, United States Tandym Group Full timeA healthcare organization in New York City is seeking a Director of Provider Contract Configuration to lead system improvements for provider payment accuracy and operational efficiency. This role will oversee configuration processes and collaborate with key departments, ensuring systems meet strategic objectives. *This is a hybrid position with 2 days in the...
-
Director of Provider Contract Configuration
4 weeks ago
New York, United States Tandym Group Full timeA healthcare organization in New York City is seeking a Director of Provider Contract Configuration to lead system improvements for provider payment accuracy and operational efficiency. This role will oversee configuration processes and collaborate with key departments, ensuring systems meet strategic objectives.*This is a hybrid position with 2 days in the...
-
Director of Provider Contract Configuration
1 week ago
New York, United States Innova Solutions Full timeAn Innova Solutions Client is immediately hiring for a Director of Provider Contract ConfigurationPosition type: Full-time/Direct Hire Location: Manhattan, NY - Hybrid (2 days per week onsite) Director, Healthcare Provider Configuration Position OverviewThe Director of Provider Contract Configuration is responsible for evaluating operation processes and...
-
Director of Provider Contract Configuration
3 weeks ago
New York, United States Medix Full timeThe Director of Provider Contract Configuration is responsible for evaluating operation processes and procedures for process improvement of Core Applications. Will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing. Job Description ...
-
Director of Provider Contract Configuration
4 weeks ago
new york city, United States Tandym Group Full timeA healthcare organization in New York City is seeking a Director of Provider Contract Configuration to lead system improvements for provider payment accuracy and operational efficiency. This role will oversee configuration processes and collaborate with key departments, ensuring systems meet strategic objectives.*This is a hybrid position with 2 days in the...
-
Director of Provider Contract Configuration
6 months ago
New York, United States MetroPlusHealth Full timeJob DescriptionJob DescriptionEmpower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health +...
-
Director of Provider Contract Configuration
2 months ago
New York, United States MetroPlusHealth Full timeJob DescriptionJob DescriptionEmpower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health +...
-
Director of Provider Contract Configuration
4 months ago
New York, United States MetroPlusHealth Full timeEmpower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest...
-
Director of Provider Contract Configuration
4 weeks ago
New York, United States MetroPlusHealth Full timeEmpower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest...
-
Director of Provider Contract Configuration
2 months ago
New York City, United States MetroPlusHealth Full timeEmpower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest...
-
Director of Healthcare Provider Configuration
4 weeks ago
New York, New York, United States Innova Solutions Full timeJob Title: Director of Healthcare Provider ConfigurationJob Summary:We are seeking a highly skilled Director of Healthcare Provider Configuration to join our team at Innova Solutions. As a key member of our organization, you will be responsible for evaluating operation processes and procedures for process improvement of Healthcare Insurance Core...
-
New York, New York, United States Innova Solutions Full timeJob DescriptionAt Innova Solutions, we are seeking a seasoned professional to lead our team as the Director of Healthcare Systems Configuration Expert. This critical role will play a pivotal part in shaping the future of our organization and driving innovation in the healthcare industry.About the RoleThe successful candidate will be responsible for...
-
Contract and Procurement Director
1 month ago
New York, New York, United States City of New York Full timeJob Title: Contract and Procurement DirectorThe City of New York is seeking a highly skilled Contract and Procurement Director to join the Homelessness Prevention Administration (HPA) - Prevention and Housing Assistance (PHA) team. As a key member of the Master Leasing Unit (MLU), you will be responsible for managing procurement activities for Master Lease...
-
Director of Quality
2 weeks ago
New York, United States Innova Solutions Full timep>An Innova Solutions Client is immediately hiring for a Director of Provider Contract ConfigurationPosition type: Full-time/Direct Hire Location: Manhattan, NY - Hybrid (2 days per week onsite) Director, Healthcare Provider Configuration Position OverviewThe Director of Provider Contract Configuration is responsible for evaluating operation processes and...
-
New York, United States City of New York Full timeCompany DescriptionJob Description The Fire Department of the City of New York (FDNY) is the largest Fire Department in the United States and universally is recognized as the world's busiest and most highly skilled emergency response agency. FDNY's main goal is to provide fire protection, emergency medical care, and other critical public safety services to...
-
Deputy Chief of Staff, Office of the Director
1 month ago
New York, New York, United States MAYORS OFFICE OF CONTRACT SVCS Full timeJob SummaryThe MAYORS OFFICE OF CONTRACT SVCS is seeking a highly skilled Deputy Chief of Staff to join our team. As a key member of the Director's office, you will play a critical role in supporting the management of intergovernmental affairs, advancing and monitoring legislative priorities, and drafting complex documents. Key Responsibilities• Strategic...
-
Network Director
4 weeks ago
New York, United States City of New York Full timeJob Description The NYC Department of Probation (DOP) is a world leader in working creatively and effectively engaging with people under court-mandated community supervision. Through innovative partnerships with people and organizations throughout New York City, DOP provides opportunities for those on probation to access services and opportunities that...
-
Network Director
3 weeks ago
New York, United States City of New York Full timeJob Description The NYC Department of Probation (DOP) is a world leader in working creatively and effectively engaging with people under court-mandated community supervision. Through innovative partnerships with people and organizations throughout New York City, DOP provides opportunities for those on probation to access services and opportunities that...
-
Director of Contracts
2 months ago
New York, United States Creative Financial Staffing Full timeAccountant ABOUT THE COMPANY One of our clients, one of the largest non-profits in the tri-state area, is looking for a Director of Contracts to join their team! They are an anti-poverty organization that's been around for over 125 years. RESPONSIBILITIES OF THE DIRECTOROF CONTRACTS Handle the billing submissions and follow up with the funders Prepare...
-
Director of Contract Administration
1 month ago
New York, New York, United States Amtrak Full timeContract Management ExpertiseAmtrak seeks a highly skilled Director of Contract Administration to lead a team of contract administrators in providing contract management support to the Amtrak Capital Delivery organization. This role will work directly with project managers, contracting officers, and law to establish project-specific contract management...
