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Specialist, Provider Contracts - Remote (San Diego, CA area)
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Job Description
- Req#: 2019184
Industry: Healthcare Insurance Provider
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Why consider this job opportunity:
- Competitive pay range of $22.81 - $44.49 an hour
- Opportunity for career advancement within a nationwide healthcare organization
- Access to a comprehensive benefits and compensation package
- Engaged workforce dedicated to providing quality healthcare to individuals in need
- Meaningful work in a team-oriented environment
What to Expect (Job Responsibilities):
- Accurately and timely maintain critical provider information on claims and provider databases
- Synchronize data among multiple claims systems and apply business rules to each database
- Negotiate contracts and letters of agreements with hospitals, physician groups, and ancillary providers
- Track provider letters of agreement, contracts, and amendments, and publish reports
- Support network development by researching, recruiting, and negotiating with providers
What is Required (Qualifications):
- Bachelor's Degree or equivalent work experience in the healthcare field
- 3-5 years of provider contract negotiation experience in the healthcare field
- Knowledge of provider contracting, network management, and credentialing processes
- Strong communication skills to effectively communicate contract terms and payment structures
- Ability to analyze and coordinate amendments, reimbursement, and language changes
How to Stand Out (Preferred Qualifications):
- Bachelor's Degree in a healthcare-related field
- Experience in managed care organizations or other healthcare settings
- Familiarity with billing codes and services provided in healthcare contracts
- Ability to travel regularly to meet targeted needs
#HealthcareInsuranceProvider #ContractNegotiation #NetworkDevelopment #DataMaintenance #HealthcareField
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