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Managed Care Network Contracting Specialist
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Job Description
- Req#: 9964
Employer Industry: Managed Care
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Involvement in network development and provider recruitment efforts
- Engage in compliance management and data integrity tasks
- Chance to work on contract management and tracking processes
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, coordinating updates as needed
- Prepare reports and presentations related to network contracting activities
What is Required (Qualifications):
- Must possess a High School Diploma or equivalent (higher degree accepted)
- Minimum of 2 years of related experience
- Basic knowledge of the credentialing process
- Understanding of contract terms
- Proficiency in fee schedule review
How to Stand Out (Preferred Qualifications):
- Experience in managing provider contracts and network development
- Familiarity with Texas HMO regulations and compliance requirements
- Strong organizational and communication skills
#ManagedCare #ContractManagement #CareerOpportunity #Compliance #NetworkDevelopment
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