CareSource
Provider Engagement Specialist III
Pay$63720.00 - $101880.00 / year
LocationMobile/Alabama
Employment typeFull-Time
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Job Description
- Req#: R9100
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $101,880.00
- Opportunity for bonuses tied to company and individual performance
- Comprehensive total rewards package focused on employee well-being
- Flexible working hours, including the potential for remote work and travel
- Chance to make a significant impact on healthcare delivery in Mississippi
- Collaborate with key health partners and engage in innovative healthcare strategies
What to Expect (Job Responsibilities):
- Execute provider contracting services and monitor key metrics for assigned markets
- Lead performance and engagement strategic initiatives to enhance network performance
- Negotiate and re-negotiate contracts with hospitals, physicians, and ancillary services
- Analyze financial data to establish strategic initiatives and reimbursement rates
- Mentor and train new hires while providing on-site support to healthcare providers
What is Required (Qualifications):
- Bachelor’s degree in a healthcare-related field or equivalent work experience
- Minimum of five (5) years of healthcare experience, including three (3) years in provider relations or contracting
- Managed care experience is required
- Intermediate proficiency with Microsoft Outlook, Word, and Excel
- Strong negotiation, communication, and time management skills
How to Stand Out (Preferred Qualifications):
- Master’s degree in a related field
- Experience with NCQA Patient Centered Medical Home (PCMH) model
- Six Sigma Certification or Project Management certification
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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
CareSource is a nonprofit that began as a managed health care plan serving Medicaid members in Ohio.