Remote Jobs
Provider Contracts Specialist (LOA's)
This job is now closed
Job Description
- Req#: 300001409702674
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive benefits and compensation package
- Work remotely while residing in California
- Supportive and collaborative work environment
- Chance to make a positive impact on network adequacy and provider relationships
What to Expect (Job Responsibilities):
- Negotiate and manage contracts and letters of agreements with the provider community to ensure quality and cost-effective services
- Maintain tracking systems and publish reports according to departmental procedures
- Support network development by researching, recruiting, and negotiating with providers
- Clearly communicate contract terms, payment structures, and reimbursement rates to various providers
- Coordinate the preparation and distribution of documents to complete the contracting process in a timely manner
What is Required (Qualifications):
- Associate's Degree in a related field or an equivalent combination of education and experience
- 2-4 years of provider contract support or negotiation experience in the healthcare field
- Knowledge of managed care organizations and provider operations
- Strong communication and negotiation skills
- Ability to work independently and manage multiple priorities
How to Stand Out (Preferred Qualifications):
- Bachelor's Degree in a related field or an equivalent combination of education and experience
- 1-3 years of experience in managed care
- Familiarity with reimbursement processes and billing codes
- Experience in data validation and database management
- Strong analytical skills to assist in contract analysis
#HealthcareServices #RemoteWork #CareerOpportunity #CompetitiveBenefits #ContractNegotiation
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