Remote Jobs
Managed Care Network Contracting Specialist
What's your preference?
Job Description
- Req#: 9456
Employer Industry: Managed Care
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Engage in meaningful work that supports provider recruitment and network development
- Involvement in regulatory compliance efforts, contributing to the integrity of the healthcare network
- Chance to develop skills in contract management and provider relations
What to Expect (Job Responsibilities):
- Assist in the preparation, execution, and tracking of provider contracts, amendments, fee schedules, and single case agreements
- Maintain an organized contract database and ensure timely updates to reflect changes in agreements
- Support provider recruitment efforts by preparing contract packets and assisting with credentialing coordination
- Ensure provider data integrity within internal systems and support regulatory compliance efforts
- Prepare reports and presentations related to network contracting activities
What is Required (Qualifications):
- Minimum educational requirement: High School Diploma or equivalent
- Minimum of 2 years of related experience
- Basic knowledge of the credentialing process
- Understanding of contract terms and fee schedule review
- Strong organizational and communication skills
How to Stand Out (Preferred Qualifications):
- Experience in network contracting and provider relations
- Familiarity with Texas HMO regulations and compliance requirements
- Proficiency in preparing reports and presentations
#ManagedCare #HealthcareContracts #ProviderRecruitment #RegulatoryCompliance #CareerOpportunity
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
The best remote jobs for you
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.