Contract Specialist

5 days ago

Atlanta, Georgia, United States Pinnacle Alliances Full time $60,000 - $80,000 per year

Contract Specialist II

12 Months(GEORGIA)

Remote

PR: $33/hr on W2

Job Description: MUST LIVE IN GEORGIA

MONDAY TO FRIDAY 8AM TO 5PM

POTENTIAL TO BE TEMP TO HIRE POSITIONS

NEEDS DUAL MONITORS AND A DOCKING STATION

REQUIRES 3-5 YEARS OF RELATED EXPERIENCE

Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases.

Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims

systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.

3 - 5 years provider contract negotiation experience in the health care field including, but not limited to, provider's office, managed care organization, or other health care field.

Negotiates assigned contracts and letters of agreements with hospitals, physician groups and ancillary providers that result in high quality, cost effective and marketable providers. Maintains tracking system and publish reports according to departmental procedures.

Initiates, negotiates, generates, and tracks provider Letters of Agreement, contracts and amendments from initial draft to full execution utilizing approved standardized contract templates/amendments.

Supports network development throughout state to including researching, recruiting, and negotiating with providers.

Participates in the evaluation of provider network and implementation of strategic plans to meet Molina's network adequacy standards.

Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital, and ancillary providers.

Assists in analysis and coordination of amendments, reimbursement, and language changes. Requests information of billing codes, services provided and other information needed to complete the contract profile.

Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes.

Job Type: Contract

Pay: $ $33.00 per hour

Work Location: Remote

  • Contract Specialist

    3 days ago

    Atlanta, Georgia, United States Far West Federal Full time $60,000 - $90,000 per year

    *** This is a fully remote position with the potential requirement to return to full-time, on-site work at a CDC campus in Atlanta, GA. ***Far West Federal is seeking a mission-driven and detail-oriented Contract Specialist to join our dedicated team supporting the Centers for Disease Control and Prevention (CDC) under our Contract Closeout Support Services...

  • Contracts Specialist

    3 days ago

    Atlanta, Georgia, United States Aveanna Healthcare Full time

    Join a Company That Puts People FirstAt Aveanna, we're proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here's what sets us apart:Award-Winning CultureRanked the #1 company to work for in Georgia in 2024 by U.S. News & World Report.Employee Connection & SupportAveanna...

  • Yard specialist

    6 days ago

    Atlanta, Georgia, United States Ruby-Collins, Inc. Full time $40,000 - $60,000 per year

    Company DescriptionRuby-Collins, Inc. is a General Contractor specializing in Water and Wastewater projects throughout the Southeastern United States. Since 1970, the company has successfully completed over $2 billion in construction projects and is currently licensed in 11 states. Ruby-Collins has received multiple awards for Partnering, Construction...

  • General Accounting Specialist

    4 days ago

    Atlanta, Georgia, United States Mid-South Steel Full time $45,000 - $75,000 per year

    Midsouth Steel, a leader in the fabrication and erection on structural steel has an immediate need for a General Accounting Specialist. This is a full time (M-F 8am to 5pm) position on site by the Atlanta airport. Responsibilities: Works in tandem with Customers, PM Liaison team, Accounts payable and Accounts Receivable.Manages the Supplier and...

  • Talent Specialist

    5 days ago

    Atlanta, Georgia, United States BELAY Full time $52,000 - $55,000 per year

    **MUST RESIDE IN THE ATLANTA, GA AREA**Work at Home OpportunityTalent Specialist - Financial Solutions - Full-timeBELAY is a growing and vibrant, Atlanta, GA-based company that offers virtual staffing solutions in the areas of Virtual Assistants, Marketing Assistants, and Financial Specialists. We are a fast-paced team of high performers that work extremely...

  • EPI Outreach Specialist

    3 days ago

    Atlanta, Georgia, United States Focus People Full time $40,000 - $60,000 per year

    Job DescriptionEpidemiology Outreach Specialist (Public Health Project)Pay:$22.00Schedule:Monday–Friday, standard business hours, Hybrid/3 days in officeType:Full-time, ContractFocus People is partnering with astatewide public health programon an initiative supporting maternal and infant health. TheEpidemiology Outreach Specialistwill develop educational...

  • Health Communications Specialist

    5 days ago

    Atlanta, Georgia, United States Cherokee Federal Full time $80,000 - $90,000 per year

    Job Description***As required by our governmental client, this position requires an activeNACI/Tier Iclearance or the ability to obtain aNACI/Tier Iclearance to be considered. ***As required by our governmental client, this position requires being a U.S. citizen, lawful resident alien, citizen of American Samoa or other territory owning permanent allegiance...

  • Healthcare Insights Operations Specialist

    3 days ago

    Atlanta, Georgia, United States Bernard Nickels & Associates Full time $60,000 - $120,000 per year

    Job Title:Healthcare Insights Operations SpecialistJob Type:Contract (W2), Part Time;PotentiallyContract-To-Hire (Full Time)Contract Start Date:ASAPContract End Date:12/31/2025(with potential for extension -AND/OR- increase to full time hours in 2026 -OR- conversion to full time status)Location:Atlanta, GA (HYBRID role; onsite 1 to 2 days per...

  • Customer Support Specialist

    1 day ago

    Atlanta, Georgia, United States Musely Full time $20 - $40 per year

    Customer Support Specialist*This is a completely remote position for a California-based company. Must be able to work Full-time hours and at least one weekend day* (evenings preferred)We are looking for a Customer Support Specialist that is open to weekend coverage with a passion for technology and beauty to assist customers when using Musely FaceRx...

  • Creative Specialist

    4 days ago

    Atlanta, Georgia, United States Empire Office Full time

    DescriptionAbout Empire OfficeEmpire Office is the largest commercial furniture dealer in the world, with over 78 years of experience and more than 435 full-time employees across the country. We are the preeminent Steelcase dealer in the United States and support a list of more than 500 manufacturers. We partner with best-in-class architects, designers,...