Provider Contract Specialist
Virtual Vocations Inc
Assisting in provider affiliation and contracting activities, the full-time Associate Provider Contract Specialist will coordinate provider outreach, manage contract documentation, and support accreditation initiatives while working remotely. Key responsibilities Coordinate the provider affiliation and termination process, including outreach for contractual and regulatory requirements Manage contract documents and timelines, tracking provider contracts from initial draft to execution Collaborate with credentialing and business configuration staff to implement negotiated contracts and ensure accurate data entry Required qualifications Associate degree or 60+ credits in health care, business, marketing, education, or a related field required Two years of experience in a medical group practice or health insurance/HMO environment Experience with data entry, customer service, claims processing, billing, provider relations, credentialing, or contracting Demonstrated proficiency with Microsoft Office, especially Excel Bachelor's degree in business administration, accounting, health care, finance, or a related field preferred
- ...: SUMMARY/OBJECTIVE The Network Development Specialist will perform network recruitment duties for the Provider Relations Department as directed by the Provider... ...4. Negotiates financial and service terms of contracts with network provider prospects in accordance with...SuggestedContract workWork experience placementLocal areaImmediate start
- ...individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health... ...the job Network Adequacy and sufficiency, negotiates and contracts with healthcare providers (such as physicians, behavioral...SuggestedFull timeContract workWork experience placementWork at officeRemote work1 day per week
- ...Job Description CBH is a dynamic organization dedicated to providing access to high-quality, accountable care to improve the... ...part of our growth, we are seeking a detail-oriented Provider Contracting Specialist to join our team. CBH offers a robust compensation and benefits...SuggestedContract workWork experience placementWork at officeLocal areaFlexible hours
- ...facilitate, negotiate, and maintain agreements with healthcare providers to build networks in support of Brighton Marine’s health plan.... ..., ancillary, and professional providers to discuss contracting to join the Brighton Marine network, negotiating contract terms...SuggestedContract workWork at officeLocal areaRemote work
$56.16k - $99.36k
...a vital link between specific Facility, Ancillary, Delegated and/or Professional providers and EmblemHealth. Responsible for day-to-day operations for all activities related to contracts with minimal supervision and direction, contract optimization, implementation of new...SuggestedContract work$65k - $88.6k
...Humana is seeking a Provider Contracting Professional to manage contracts with providers related to Medicaid health plans. You will negotiate physician and hospital contracts while analyzing financial impacts and maintaining documentation. This remote role requires strong...Contract workRemote work$59.88k - $89.82k
...the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing... .... Alignment Health is seeking a hybrid remote Provider Contract Specialist to support the growth and performance of our provider...Contract workWork at officeLocal areaRemote workWork from homeMonday to Friday- ...Your Role The Provider Network Management team consists of Provider Relations and Contracting in Southern California. The Provider Contracting Specialist, Principal will report to the Director, Provider Contracting. In this role you will be responsible for managing...Full timeContract workWork at office
- ...Job Description Your Role The Provider Network Management team consists of Provider Relations and Contracting in Southern California. The Provider Contracting Specialist, Principal will report to the Director, Provider Contracting. In this role you will be responsible...Full timeContract workPart timeWork at officeLocal areaWork from homeHome office2 days per week
- ...Job Description Job Description The role of the Provider Relations and Contracting Specialist is to provide FrontPath members and their enrollees with access to a broad and cost-effective provider network. The role focusses on retaining and growing the network providers...Full timeWork experience placementLocal area
- ...Your Role The Model Contracts team manages and maintains Blue Shield of California's standardized provider agreement templates across multiple lines of business and risk arrangements. The Provider Contracting Specialist, Senior (Model Contracts) will report to the...Contract workWork at office2 days per week
- Careers Integrated Resources Inc is hiring a Contract Specialist in Columbus, OH. This role involves reviewing contracts from providers, ensuring all necessary signatures, and maintaining detailed notes in Salesforce and MS Excel. Candidates must have a minimum of 2 years...Full timeContract workMonday to Friday
$19 - $23 per hour
The Early Learning Coalition of Northwest Florida is seeking a detail-oriented Provider Contracts and Reimbursement Specialist to join our Operations Team. The ideal candidate is highly organized, analytical, and resourceful. This position is responsible for processing...Hourly payFull timeTemporary workWork experience placementWork at officeWork from homeFlexible hours$56.16k - $99.36k
A leading health insurance provider in New York is seeking an experienced individual to act as a liaison between providers and the company... ...company policies, and ensuring accurate implementation of contracts. Candidates should possess a Bachelor's degree and have 3-5...Contract work$59.88k - $89.82k
...: the chronically ill and frail. In this fast‑growing company, we provide an opportunity to do work that really matters, not only changing lives but saving them. Job Responsibilities Provider Contracting & Network Development Recruit new providers in assigned specialty(...Remote jobContract workWork at officeMonday to Friday$59.88k - $89.82k
Alignment Health seeks a hybrid remote Provider Contract Specialist to support provider network growth in Charlotte, NC. This role involves identifying, recruiting, and contracting with providers, as well as negotiating contract terms. Candidates should have a minimum...Remote jobContract work$55.9k - $123.5k
TX PLAN is looking for a dedicated professional in Houston to support and enhance cooperative working relationships with contracted providers. This role involves issue tracking, education, and ensuring adherence to contracts and financial requirements. Candidates should...$68.04k - $118.8k
...liaison and operates as a vital link between specific Facility, Ancillary, Delegated and/or Professional providers and EmblemHealth. Develop provider contracting efforts, including but not limited to process oversight, strategic diligence, outreach, and contract negotiations...Contract workWork at officeLocal area$75k - $90k
...Physicians, Altais Medical Group Riverside, and Family Care Specialists. Together, we’re building a stronger, more connected... ...better experience for physicians and their patients. The Contracts Specialist, Provider is responsible for managing and supporting provider...Full timeContract workLocal areaFlexible hours- Job Description Your Role The Model Contracts team manages and maintains Blue Shield of California’s standardized provider agreement templates across multiple lines of business... ...arrangements. The Provider Contracting Specialist, Senior (Model Contracts) will report to your...Full timeContract workPart timeWork at officeLocal areaWork from homeHome office2 days per week
- Blue Shield of CA is looking for a Senior Provider Contracting Specialist to enhance our standardized provider agreement templates. This position requires expertise in healthcare contracting, with a focus on compliance and operational efficiency. Ideal candidates will possess...Work at office
- Blue Shield, located in Woodland, California, is seeking a Provider Contracting Specialist, Senior. This role involves managing standardized provider agreement templates and ensuring compliance across multiple lines of business. The ideal candidate has a Bachelor's degree...Work at office
- The Recovery Village FL seeks a Remote Provider Contracting and Credentialing Coordinator to ensure that medical and clinical staff are properly credentialed. The ideal candidate should have at least three years' experience in provider contracting and credentialing, preferably...Remote work
- ...To establish relationships with providers and secure single-case agreements and permanent contracts, the full-time Provider Contract Administrator will deliver care coordination services remotely while ensuring compliance with IT security policies and managing provider...Permanent employmentFull timeContract workRemote work
- ...Provider Contract Administrator Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track...Permanent employmentFull timeContract workPart timeFor contractorsLive inLocal areaRemote workFlexible hours
- E2E Alignment Healthcare USA, LLC is seeking a Provider Contracting & Network Development professional to recruit providers and maintain contract documentation. You will ensure compliance and serve as a resource for internal customers. The ideal candidate has over 5 years...Contract work
- The Fulton Montgomery Regional Chamber of Commerce is seeking a Paralegal to draft, review, and manage provider contracts. The ideal candidate will have a paralegal degree with experience in contract language, expertise in project management, and strong analytical skills...Contract workRemote work
$42k - $46k
TriWest Healthcare Alliance is seeking a detail-oriented individual for a remote position overseeing provider services. Key responsibilities include coordinating correspondence, maintaining logs, reviewing agreements for accuracy, scanning documents, and updating procedures...Remote jobContract work- ...Provider Recruiter/Contracts Administrator MJM Innovations, a leader in transit software, is seeking a Provider Recruiter/Contracts Administrator responsible for recruiting RideChoice and ADA Paratransit overflow providers and monitoring the Contractor's performance...Contract workFor contractorsLocal areaImmediate start
- ...most valued resource, information. As a fast-growing solutions provider, established in 2000, total customer satisfaction has remained... ..., loyalty, and trust. Essential Job Function Contracting Strategy Advise or assist the MMO (and CO for a given acquisition...Contract workWork at office
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