• Senior Provider Contracting

    Corewell Health (Southfield, MI)
    …passion for problem solving? Priority Health is seeking a Senior Provider Contract Specialist to take ownership of affiliated network contracting . In this ... the creation and cultivation of cross-organizational relationships. + May represent contracting at external and Joint Operating Committee meetings. May oversee… more
    Corewell Health (11/14/25)
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  • Senior Provider Contracts Specialist

    Molina Healthcare (St. Clair Shores, MI)
    …and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates in other contracting related special projects as ... Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
    Molina Healthcare (01/02/26)
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  • Health Plan Economics Specialist

    HCA Healthcare (Campbell, CA)
    …We care like family! Jump-start your career as a Health Plan Economics Specialist today with HCA Healthcare. **Benefits** HCA Healthcare offers a total rewards ... Come join our team as a Health Plan Economics Specialist . We care for our community! Just last year,...Excel, SQL, Power BI + Provide support for Finance, Contracting , Planning, Budget and Forecasting, and Monthly Performance +… more
    HCA Healthcare (10/24/25)
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  • Network Management Specialist (Contract…

    Magellan Health Services (Albuquerque, NM)
    The Network Contract Specialist will be responsible for creating and maintaining behavioral health provider contracts across the New Mexico territory for ... Medicare, and Commercial lines of business. This role includes managing provider contracting activities in coordination with the Network team and processing all… more
    Magellan Health Services (11/13/25)
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  • Supply Chain Strategic Sourcing Specialist

    Lawrence General Hospital (Lawrence, MA)
    …in Lawrence, Haverhill, and Methuen, as well as a network of community-based physician practices. We are a recognized leader in heart and stroke care, maternal ... for the region. Lead the day-to-day operations of the supply chain strategic contracting functions for the health system. Provide support for the procurement of… more
    Lawrence General Hospital (12/17/25)
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  • Specialist , Legal and Risk

    Children's Mercy Kansas City (Kansas City, MO)
    …beyond the walls of our hospital. Overview The Legal and Risk Specialist provides professional support to the Attorneys, Insurance Program Manager, Contract Program ... in response to inquiries about all lines of insurance coverage and about contracting issues. This position participates in special projects and will assist with… more
    Children's Mercy Kansas City (12/23/25)
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  • Contract Specialist

    WMCHealth (Valhalla, NY)
    Contract Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Law Office- WMCHealth ... Internal Applicant link Job Details: Job Summary: The Contract Specialist is responsible for preparing contracts using templates, their draft… more
    WMCHealth (12/23/25)
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  • Administrative Specialist Provider Services…

    Trinity Health (Boise, ID)
    …assist with education related reimbursement processing for physicians and providers. + The Physician Contracting & Provider Services Team supports physician ... Saint Alphonsus Provider Services team is now hiring for a full-time Administrative Specialist ! **Position Summary & Highlights** **:** + THIS POSITION WILL NEED TO… more
    Trinity Health (12/30/25)
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  • Physician -Contract Medical Reviewer (CMR)

    Chenega Corporation (Rockville, MD)
    …and communication with the HRSA CICP Contracting Officer's Representative (COR), Contracting Officer (CO), Contracting Specialist (CS), CICP Program ... Services Strategic Business Unit** company, is looking for a Physician - Contract Medical Reviewer (CMR) to support the Department...or License to practice in the US as a physician 's assistant or nurse practitioner. + Licensure: Must possess… more
    Chenega Corporation (10/14/25)
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  • Medical Education Program Specialist

    Philips (Rogers, AR)
    …position. + You have SH device industry experience with strong physician relationship management skills preferred (communication, contracting , project ... **Medical Education Program Specialist ** You will be responsible for the development,...goals and product launches. Build strong HCP relationships, support contracting processes, and explore innovative technologies to expand program… more
    Philips (12/13/25)
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  • Senior RN Peer Review Specialist

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …healthcare? Bring your true colors to blue. The Role:The Peer Review Specialist is responsible for monitoring the quality of the credentialed practitioner/ ... Credentialing & Peer Review (CPR) Team, the Peer Review Specialist works closely with CPR's Director and Clinical Lead,...are not limited to: + CPRC/S membership + Healthcare Contracting and Management Team + Legal Department: + Medical… more
    Blue Cross Blue Shield of Massachusetts (12/25/25)
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  • Contract Specialist II

    Dignity Health (Bakersfield, CA)
    **Job Summary and Responsibilities** The Contract Specialist II, reporting to the Network Operations/ Contracting Manager, plays a critical role in managing ... all documentation is accessible to DHMSO staff electronically and in hardcopy. The Specialist will be crucial in ensuring all contracts comply with relevant laws and… more
    Dignity Health (12/18/25)
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  • Supervisory Distribution Facilities…

    Government Publishing Office (Washington, DC)
    …Conditions of Employment Qualifications To qualify for the Supervisory Distribution Facilities Specialist , PG -2030-12, you must possess at least one year of ... under Schedule A can be obtained from a licensed medical professional (eg, a physician or other medical professional certified by a state, the District of Columbia,… more
    Government Publishing Office (12/19/25)
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  • Clinical Denials Prevention & Appeals…

    Nuvance Health (Danbury, CT)
    …inpatient level of care. If the case still does not meet, send to the Physician Advisor (PA) for a second level review. * Forward cases that require secondary ... physician review to appropriate resource (eg, Physician ...Denials Management team. * Assists with informing Managed Care contracting team with necessary contractual language to protect organization… more
    Nuvance Health (12/25/25)
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  • Strategic Outreach Coordinator

    HCA Healthcare (Brentwood, TN)
    …Qualifications** Performs complex administrative duties and tasks relative to physician recruitment operations, including but not limited to: composing ... marketing collateral and giveaway management. Assists and supports the director physician recruitment and other recruitment staff with activities directly related to… more
    HCA Healthcare (12/03/25)
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  • Director Practice Operations

    Surgery Care Affiliates (NJ)
    …for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a ... Practices team and other senior executives in execution of an independent specialist partnership strategy for the Specialty Practice Division. The focus of this… more
    Surgery Care Affiliates (12/13/25)
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  • Market CMO, Centerwell Senior Primary Care…

    CenterWell (Phoenix, AZ)
    …workload, space and equipment and center needs. + Oversee daily operations of physician services. + Build strong relationship with specialist , hospitalist, SNF ... the roles of the Center Medical Directors. + Identify physician recruitment needs and collaborate in the hiring and... recruitment needs and collaborate in the hiring and contracting of providers. + Establish work schedules and assignments… more
    CenterWell (10/24/25)
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  • Provider Relations Liaison

    Commonwealth Care Alliance (Boston, MA)
    …provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including ... primary care practices, specialists, physician organizations, hospitals, ancillary and LTSS providers. Key responsibilities include establishing positive working… more
    Commonwealth Care Alliance (10/18/25)
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  • Market CMO - South Carolina

    CenterWell (Columbia, SC)
    …workload, space and equipment and center needs. . Oversee daily operations of physician services. . Build strong relationship with specialist , hospitalist, SNF ... the roles of the Center Medical Directors. . Identify physician recruitment needs and collaborate in the hiring and... recruitment needs and collaborate in the hiring and contracting of providers. . Establish work schedules and assignments… more
    CenterWell (11/28/25)
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  • Registry Coordinator RN | BMT

    Houston Methodist (Houston, TX)
    …The Registry Coordinator RN position provides support for the CIBMTR Data Specialist team, including training, auditing, and providing feedback on staff performance ... activities. **PEOPLE ESSENTIAL FUNCTIONS** + Supports the CIBMTR data specialist team including training, precepting, mentoring staff and providing coverage… more
    Houston Methodist (10/28/25)
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