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Provider Contracting Specialist
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Job Description
- Req#: R25_0694
Employer Industry: Insurance
Why consider this job opportunity:
- Salary up to $140,000/year based on geographic location
- Opportunity for career advancement and growth within the organization
- Comprehensive health, dental, and vision insurance plans available for employees and their families
- Access to a robust Employee Assistance Program and wellness programs
- Supportive and inclusive work environment that values diversity
- Flexible remote work option available
What to Expect (Job Responsibilities):
- Draft, negotiate, and execute provider contracts and amendments for healthcare providers
- Maintain accurate records of executed agreements and associated rate schedules
- Support network expansion to meet CMS network adequacy standards
- Track contract renewals, expirations, and performance guarantees
- Collaborate with internal stakeholders to address provider-related issues
What is Required (Qualifications):
- Bachelor's degree in Business Administration, Healthcare Management, or related field
- Minimum 3-5 years of experience in provider contracting, network management, or managed care operations
- Strong understanding of CMS MA network adequacy and compliance requirements
- Proficiency in Microsoft Excel, Word, and contract management systems
- Exceptional attention to detail and strong communication and negotiation skills
How to Stand Out (Preferred Qualifications):
- Experience specifically in Medicare Advantage contracting and network management
- Ability to manage multiple priorities in a fast-paced environment
- Established relationship-building skills with healthcare providers
- Familiarity with financial modeling and payment term reviews
#Insurance #HealthcareManagement #CareerOpportunity #DiversityAndInclusion #RemoteWork
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