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Become a part of our caring community and help us put health first
The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to substantial.
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Central Coast Salary Range: $120,970 - $181,455
While candidates from anywhere in California are welcome to apply, there is a strong preference for those who reside on the Central Coast (Ventura, Santa Barbara, San Luis Obispo, Monterey and Santa Cruz Counties). This role may offer opportunities for remote work; however, familiarity with and proximity to our local customers is valued.
Job Summa...

The Provider Network Specialist is responsible for supporting provider contracting activities through the preparation, processing, tracking, and maintenance of provider agreements and related documentation. This position serves as an operational resource within the Network Development department, ensuring timely contract execution, accurate contract records, and effective coordination across in...

Job Description
MUST be located in Kansas, Texas, Illinois, Washington or Oregon
A bit about this role:
This position plays a critical role in building and maintaining Devoted Health's Medicare Advantage provider network. This position is responsible for identifying, negotiating, and executing provider contracts within an assigned geographic region. The role is well-suited for someone who enjoy...

(Remote) Provider Enrollment Specialist - Mental Health & Addiction Field
*Must live in the US in EST and reside in the Eastern (ET)or Central Time (CT) Zone
Hours: 8:00am to 5:00pm ET
Pay Starts: $21- $24/hr
Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, and mental health issues. We put behavioral he...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one pe...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Create contracts and manage the contracting process for new business opportunities, prepa...

At Dearborn, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
Responsible for complex contracting of dentists within a specific assig...

Hours :
Shift Start Time:
7:30 AM
Shift End Time:
4 PM
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Start time 7:30-9:00 end 4:00-5:30
Weekend Requirements:
As Needed
On-Call Required:
No
Hourly Pay Range (Minimum - Midpoint - Maximum):
$30.370 - $37.950 - $42.510
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actu...

Location: Remote (East Coast / Southeast preferred) | Reports to: CEO | Travel: ~50% (variable)
About Movn Health
Movn Health is redefining how people recover from heart disease. As the nation's leading virtual cardiac rehabilitation and cardiovascular care provider, our mission is to help every person live a longer, stronger, and more confident life after a heart event. Developed in collaborat...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting Title
Provider Relations Analyst Sr (Contract Negotiation) - RemoteJob Description
The Provider Relations Analyst Sr is responsible for contracting effor...

Overview
Are you looking for a rewarding career as a Payor Contract Manager? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay
* $80 - $112K
* Bonus eligible
Enjoy many perks and benefits
* A full benefits package (with affordable health insurance options.)
* 401k with a ma...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career deve...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one pe...

Job Description
A bit about this role:
The Assistant General Counsel for Health Plan Operations serves as a key legal partner to Devoted's health plan operations, providing practical, business-minded counsel across the full range of activities that keep our Medicare Advantage and related products running. This individual-contributor role reports to the Deputy General Counsel and supports claim...

The Payer Contract Analyst (PCA) is responsible for proper contracting and revenue cycle management support. Ensures contracting requirements are met and provides analysis, problem resolution, auditing, reporting and process recommendations for optimal outcomes. The PCA will assist Contracting with contacting payers to receive relevant information for billing. The ideal candidate will have know...

Where You'll Work
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospita...

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact,...

Resp & Qualifications
PURPOSE:
The Senior Medical Coding Specialist acts as an internal expert to ensure that value-based reimbursement and medical policy models are developed and implemented to support Payment Integrity. This role provides expert knowledge to support effective partnership with provider entities, guidance on the appropriate quality measure capture and proper use of CPT and ICD...

Provider Relations Specialist II
Job Summary
This position serves as a primary liaison between CareOregon and the provider-partner network, which includes contracted, non-contracted, and potential providers. This position focuses on establishing, building, and strengthening provider-partner relationships among contracted providers. Primary responsibilities include an intermediate level of provi...