- CareFirst (Baltimore, MD)
- …(KSAs)** + Understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated ... business or related field. + 1 year experience in contracting , provider recruitment or provider ...service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external… more
- The Cigna Group (Salem, OR)
- …anywhere in the USA** **Summary** This role delivers professional activities in the Provider Contracting job family. The position is responsible for dental ... provider recruitment and contracting as well as...provider inquiries, concerns, complaints, appeals and grievances + Provide ongoing product education to dentists and their staff… more
- Centene Corporation (Columbus, OH)
- …including experience in a managed health care environment with exposure to provider contracting , servicing benefits interpretation, and internal operations of ... well as claims payment resolution as it relates to provider set up. Provide support to external...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- CareFirst (Baltimore, MD)
- …and implemented. Provides expert knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and ... submissions. Utilizes coding expertise, combined with medical policy, credentialing, and contracting rules knowledge to build the effective guides and resources for… more
- State of Colorado (CO)
- Senior Grant Management Program Specialist (OIT Only - Remote from anywhere in Colorado) Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5167927) Apply Senior Grant Management Program Specialist (OIT Only - Remote from anywhere in… more
- KBR (Ann Arbor, MI)
- Title: Principal Contracts Specialist ( remote ) Belong. Connect. Grow. with KBR! KBR's National Security Solutions team provides high-end engineering and advanced ... and shape the future of space defense. KBR is seeking a Principal Contracts Specialist to support early stages of the contract lifecycle. This position will be a… more
- Molina Healthcare (Seattle, WA)
- …must live in Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider Contract Specialists on negotiation of… more
- Spectrum Billing Solutions (Skokie, IL)
- …skills. RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist | Revenue Cycle Contracting Specialist | Medical Billing ... skills. This is a remote or hybrid in-office/ remote role. Your Responsibilities: + Complete provider ...with third-party carriers and government health plans. + Review provider credentialing and contracting information to ensure… more
- Philips (Orlando, FL)
- The Medical Education Specialist is responsible for the end-to-end development, execution, and evaluation of educational programs for physicians and healthcare ... management of relationships with HCP partners, and support for contracting in coordination with KOL Managers. We are seeking...this position. **How we work together** This is a remote based position with travel expectations- 30-50% travel with… more
- Cordis (Miami Lakes, FL)
- …who keep saving lives. **Responsibilities** **Job Summary:** The Pricing Contract Sr Specialist is responsible for managing the full lifecycle of complex customer ... and strategic accounts, including GPOs and IDNs. The Senior Specialist proactively identifies opportunities to improve contract performance, supports strategic… more
- Molina Healthcare (Mesa, AZ)
- …governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other ... and ensuring Plan meets contractual and regulatory requirements. + Reviews Provider Agreement, EOC/ Member Handbook, Provider Directory, marketing materials,… more
- CommonSpirit Health (Englewood, CO)
- …level of customer satisfaction in the most cost-effective manner. The Contract Specialist III handles a diverse set of responsibilities focused on contract pricing ... reporting, and Group Purchasing Organization (GPO) functionality. The Contract Specialist III collaborates with the Contract Administration Manager to assist… more
- State of Michigan (Lansing, MI)
- Information Technology Specialist 14 (Infrastructure Specialist ) Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5154592) Apply ... Information Technology Specialist 14 (Infrastructure Specialist ) Salary $37.62 - $54.99 Hourly Location Lansing, MI Job Type Permanent Full Time Job Number… more
- Defense Microelectronics Activity (Mcclellan, CA)
- …of the Department of Defense," dated October 15, 2021. As a Contract Specialist at the NH-1102-3 some of your typical work assignments may include: Performs ... employees. Serves as point of contact for assigned procurements. Serves as Contracting Officer when applicable. Promotes teamwork and total quality customer services… more
- 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/ ... organizational provider networks ensuring our members receive the highest quality...Credentialing & Peer Review (CPR) Team, the Peer Review Specialist works closely with CPR's Director and Clinical Lead,… more
- Amgen (Washington, DC)
- …Join us and transform the lives of patients while transforming your career. ** Specialist IS Business Systems Analyst - Product Team** **What you will do** Let's ... N SaaS software product features and integrations necessary for pharmaceutical contracting and pricing execution, and for Gross-to-Net forecasting and reporting. The… more
- Molina Healthcare (Rockford, IL)
- Molina Healthcare is hiring a Sr Specialist in our Government Contracts department. This role is remote with a high preference for candidates who reside in ... Illinois. The Sr Specialist in our Government Contracts will be responsible for...for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and… more
- AmeriHealth Caritas (Philadelphia, PA)
- …us at www.amerihealthcaritas.com . The Community Health Choices (CHC) Home Modification Specialist works within the scope of the service definition for home ... under the Community Health Choices (CHC) Program. The Home Modification Specialist evaluates Participant needs for home accessibility/modification and the existing… more
- Defense Microelectronics Activity (Mcclellan, CA)
- …and services of significant importance to the agency. Responsibilities As a Contract Specialist at the NH-1102-2 some of your typical work assignments may include: ... Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment.… more
- Ansible Government Solutions (Malvern, PA)
- …Solutions, LLC (Ansible) is seeking a full-time Compliance & Credentialing Specialist . This work-from-home position is responsible for carrying out various ... of the security and background check processes with candidates via remote correspondence. We strongly desire previous experience navigating federal background… more
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