- Molina Healthcare (Columbus, OH)
- …**Preferred Experience** 3-5 years minimum experience in value-based and risk-based contracting with hospitals, physician groups, high volume specialists and ... **_ Remote and must live in the United States..._** **Job Description** **Job Summary** Molina's Value Based Provider Contracting function provides guidance, signature support services, standards and… more
- McLaren Health Care (Auburn Hills, MI)
- …Michigan, McLaren is committed to the highest levels of patient care. McLaren Physician Partners is a joint venture partnership between the McLaren healthcare System ... and our Physician members. Our focus is to support ...aspects of care delivery and operations including clinical integration, contracting , quality, care coordination and care management, across all… more
- Trinity Health (Columbus, OH)
- …and do the right thing. **Position Purpose:** The Operations Resolution Specialist researches, analyzes, documents, and coordinates the resolution of escalated ... provider coding and billing requirements + Knowledgeable with provider credentialing and contracting terminology + Basic knowledge of the healthcare claims process +… more
- Parkview Health (Fort Wayne, IN)
- Summary Responsible for the participation in translating the provider contracting into System set-up for accurate data maintenance within HPS systems, including ... of contract issues. Responsible for verbal and written communication to Contract Specialist and Manager, as well as to the provider network. Delivers outstanding… more
- Molina Healthcare (MI)
- …and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates in other contracting related special projects as ... **_ Remote and must live in Michigan _** **Job...**Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
- Molina Healthcare (CA)
- **_ Remote and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- NANA Regional Corporation (Bozeman, MT)
- …provides services in the areas of human resources, budget, procurement, contracting , maintenance and facilities, safety and other administrative functions, and ... and procedures of the agency. Akima is hiring a Business Support Specialist VII to provide administrative/clerical support services at NOROCK's primary facility… more
- Molina Healthcare (Columbus, OH)
- **_ Remote and must live in the United States _** **JOB DESCRIPTION** **Job Summary** Molina National Level Contracting jobs are responsible for accurate and ... and system requirements of customers as it pertains to contracting , network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** Negotiates assigned contracts… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Value Analysis Specialist works with all Network entities in development and implementation strategies for ... and external stakeholders engaged in supply chain activities including physician leadership, consultants and vendors, group purchasing organizations, inventory… more
- Pfizer (Sacramento, CA)
- …with cross-functional colleagues, including Trade, Customer Service, Accounts Payable, Contracting , Medical and Key Account Management, to address customer inquiries ... the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of...IRCA. Pfizer is an E-Verify employer. This position requires permanent work authorization in the United States. Sales \#LI- Remote … more
- Molina Healthcare (Virginia Beach, VA)
- **_ Remote and must live in Virginia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- Tufts Medicine (Burlington, MA)
- …to ensure healthy, happy neighborhoods throughout the greater Boston region. ** Remote with occasional onsite travel required.** **Job Overview** Reporting to the ... various project work as needed such as contract implementation, operational and contracting resources for network and annual settlement. Serves as the primary… more