Remote Provider Contracting Specialist (Medicaid)
$65k - $88.6kHumana
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 proficiency with Excel and a minimum of 2 years in managed care contract negotiation. The position offers a pay range of $65,000 - $88,600 annually, along with competitive benefits including medical, dental, and vision coverage. #J-18808-Ljbffr
- ...large businesses as well as providing information and tools to help... ...classified as hybrid, onsite or remote. While the majority of our... ...sufficiency, negotiates and contracts with healthcare providers (such... ..., and hospitals) for Arizona Medicaid (AHCCCS) and Dual Eligible Special...Remote workFull timeContract workWork experience placementWork at office1 day per week
- ...Washington, D.C. office; 1 day remote from home FLSA Status:... ...maintain agreements with healthcare providers to build networks in support... ...providers to discuss contracting to join the Brighton Marine network... ...insurance payor industry (Medicare, Medicaid, Commercial, TRICARE and...Remote workContract workWork at officeLocal area
$59.88k - $89.82k
...Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only... ...them. Together. Alignment Health is seeking a hybrid remote Provider Contract Specialist to support the growth and performance of our provider network...Remote workContract workWork at officeLocal areaWork from homeMonday to Friday- ...Assisting in provider affiliation and contracting activities, the full-time Associate Provider Contract Specialist will coordinate provider outreach, manage contract documentation... ...accreditation initiatives while working remotely. Key responsibilities Coordinate the provider...Remote workFull timeContract workWork at office
$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 of...Remote jobContract 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- 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
- ...Commerce is seeking a Paralegal to draft, review, and manage provider contracts. The ideal candidate will have a paralegal degree with experience... ...compensation, with additional benefits and potential for remote work. #J-18808-Ljbffr Fulton Montgomery Regional Chamber of CommerceRemote workContract 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$29.1k - $41.6k
...Representative to assist healthcare professionals with billing and Medicaid inquiries. This remote position requires excellent communication skills and... ...range of $29,100 - $41,600 annually and focuses on providing efficient solutions in a fast-paced environment. #J-18808...Remote work- ...Gainwell Technologies is looking for a Professional Field Representative for a remote role in Wisconsin. This position involves serving as a liaison for Wisconsin Medicaid providers, focusing on education, issue resolution, and operational support. The ideal candidate...Remote workFlexible hours
- ...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...Remote workPermanent employmentFull timeContract work
- ...Conduent is seeking a Transaction Processor Associate to join their Provider Enrollment Team. This role involves processing Medicaid provider applications with a flexible work schedule that suits your needs. The ideal candidate should have a high school diploma, strong...Remote workFlexible hours
$54.3k - $77.5k
...RemoteFetch is seeking a Professional Field Representative to bridge healthcare providers and Indiana Medicaid. This virtual role involves delivering education, resolving issues, and ensuring provider satisfaction while being based in Indiana. The candidate will conduct...Remote work- ...Gainwell Technologies is seeking a Provider Enrollment Analyst to support provider enrollment and revalidation operations for Medicaid healthcare programs. This remote role is vital for ensuring provider data accuracy and regulatory compliance related to evolving healthcare...Remote workFlexible hours
- ...Gainwell Technologies is seeking a Provider Enrollment Analyst to support provider enrollment and... ...operations in healthcare programs. This fully remote role entails reviewing applications for accuracy and compliance with Medicaid guidelines. Candidates should hold a high...Remote workWork at office
- ...Provider Contract Administrator Paradigm is an accountable specialty care management organization focused on improving the lives of people... ..., Paradigm complies with Wisconsin Contract Compliance Law (§16.765). Poster link: Contract Compliance Law Poster #LI-Remote...Remote workPermanent employmentFull timeContract workPart timeFor contractorsLive inLocal areaFlexible hours
$22.5 - $25.65 per hour
...Description Are you a Contracts and Managed Care... ...Finance Analyst! Devereux provides mental and behavioral... .... As a Contracts Specialist, you will: Submit monthly... ...to all Managed Medicaid agencies (new hires, changes... ...Type Full-Time Remote No The...Remote workFull timeContract workMonday to Friday- ...is a dynamic organization dedicated to providing access to high-quality, accountable... ...are seeking a detail-oriented Provider Contracting Specialist to join our team. CBH offers a robust... ...practitioner and facility licensing, Medicaid enrollment and reimbursement, and service...Contract workWork experience placementWork at officeLocal areaFlexible hours
- ...edge solutions to global clients across both public and private sectors. Title: Credentialing Provider Revalidation (Medicaid) Location: Springfield, IL (100% Remote) Duration: Full-time Role Description This position is Medicaid Provider Revalidation....Remote workFull timeWork at office
- Alignment Healthcare LLC is seeking a Provider Contract Specialist for a hybrid remote position in Charlotte, NC. This role involves recruiting and contracting providers, negotiating contract terms, and managing documentation and compliance. Requirements include at least...Remote jobContract work
$87.19k - $114.43k
Namely is seeking a remote Associate for the Network Contracting & Services team. In this role, you will manage contracts and negotiate terms with healthcare providers to ensure quality care and cost optimization. Candidates should have over 3 years of healthcare experience...Remote job$87.19k - $114.43k
...Health is seeking an Associate for the Network Contracting & Services team, responsible for managing contracts with healthcare providers to ensure access to quality care and... ...negotiation experience. The position offers a remote working model with a competitive salary range...Remote jobContract work$22.31 per hour
...Provider Contracting Representative Open to multiple states (see list below) - will work from home and travel to dental offices as needed... ...paced environment. Requirements This hybrid field-and-remote position requires reliable transportation, strong communication...Remote workHourly payWeekly payWork at officeLocal areaWork from homeMonday to Friday$35 per hour
...Renewal About the Position The Contracting and Credentialing Specialist is responsible for... ...and managed care plans and Medicaid agencies in Pima County,... ...the complete process of provider enrollment, application,... ...personality. $35 - $35 an hour Remote Contractor position...Remote workHourly payContract workPart timeFor contractorsWork experience placementWork at office10 hours per weekFlexible hours- ...Provider Contracts Manager Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas... ...over 400,000 Members with the following programs: Medicaid State of Texas Access Reform (STAR) program for low-income children...Remote workContract workWork experience placementWork at office
$40 - $46 per hour
...Description BKG Enterprises is seeking a Medicaid Provider Relationship Account Manager... ...position may involve a mix of on-site and remote working environments based on the organization... ..., and monitor educational activities, contract questions, and non-routine claim issues...Remote workContract work- ...Columbus, OH is seeking a TMA Support Specialist for a 9-month contract. The ideal candidate will have... ...problem analysis skills, along with Medicaid functional experience and eligibility... ...stabilization efforts. Join a team dedicated to providing high-quality services in a dynamic...Contract work
- ...A company is looking for a Director of Health Plan Provider Contracts. Key Responsibilities Oversees provider contracting functions and collaborates... ...care provider compensation methodologies, particularly in Medicaid and Medicare Strong analytical abilities and data-driven...Remote workContract workWork at office
- ...Job Description ***Remote and must live in or be willing to travel... ...Job Summary Provides subject matter expertise and... ...plan provider network complex contracting activities. Supports network... ...methodologies, primarily across Medicaid and Medicare lines of business...Remote workContract workLive inWork at office
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