- CareFirst (Baltimore, MD)
- … provider networks. Performs duties to coordinate and support all types of provider contracting in accordance with guidelines in order to maintain and enhance ... (KSAs)** + Deep understanding of multiple reimbursement methodologies used in healthcare provider contracting , + Proven ability to build strong collaborative… more
- Linchpin Solutions, Inc. (Aberdeen Proving Ground, MD)
- Contracting Specialist Fully Remote * Aberdeen Proving Ground, MD (http://maps.google.com/maps?q=6175+Guardian+Gateway+Aberdeen+Proving+Ground+MD+USA+21005) ... be! We are currently hiring for a dynamic and experienced Contracts Specialist . Clearance:Ability to obtain a DoD Secret Clearance is preferred. Work Schedule:Fully… more
- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Provider Contract Specialist ( Remote Option within SHP Service Area) ... States of America) **Job Description:** **JOB SUMMARY** The Provider Contract Specialist works in cooperation with the Contracting Manager - Marshfield… more
- Molina Healthcare (Columbus, OH)
- …United States _** **Job Description** **Job Summary** Molina's Value Based Provider Contracting function provides guidance, signature support services, standards ... Network Management & Operations with an emphasis on value based provider contracting . **Required License, Certification, Association** N/A **Preferred… 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 ... Specialist and Manager, as well as to the provider network. Delivers outstanding customer service to internal and...Must have excellent verbal and written communication skills. Must provide own transportation; Will be required to work outside… more
- Molina Healthcare (Warren, MI)
- …(eg, Provider Services/ Provider Inquiry Research & Resolution, Provider Contracting / Provider Relationship Management). + Provides timely, accurate ... **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate...the accurate and timely validation and maintenance of critical provider information on all claims and provider … more
- Trinity Health (Columbus, OH)
- …Knowledgeable in provider coding and billing requirements + Knowledgeable with provider credentialing and contracting terminology + Basic knowledge of the ... variety of professional roles including information technology, financial analysis, audit, provider relations and more. We know that exceptional patient care starts… more
- Molina Healthcare (MI)
- …must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals,… more
- Medical Mutual of Ohio (OH)
- …has the option to work remote ; Ohio residents preferred._** **Responsibilities** ** Provider Credentialing & Data Specialist I** + Categorizes returned mail ... on-going sanction monitoring issues.Gathers and summarizes information for Credentialing Committee or Provider Contracting and responds to questions as needed. +… more
- Molina Healthcare (CA)
- …must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… 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 ... timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and … more
- University of Washington (Seattle, WA)
- …+ Day Shift + This position is Remote **POSITION HIGHLIGHTS** The Provider Enrollment Specialist is responsible for coordinating and maintaining the process ... Plane Services (FPPS) has an outstanding opportunity for a ** Provider Enrollment Specialist .** **WORK SCHEDULE** + 40...Committee at each facility. In conjunction with Director of Contracting , develop standards for new provider types… more
- BayCare Health System (Largo, FL)
- …vary) + **Days:** Monday through Friday The Credentialing and Provider Enrollment Specialist is a full-time remote position. This team member must currently ... Managed Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist **Location** US:Florida | Business and… more
- University of Massachusetts Amherst (Amherst, MA)
- …Support - Procurement/Contracts Specialist ( Remote Opportunity) Apply now ... of more than $240 million in 2023. Job Summary The Research Support Specialist (Procurement/UPST) serves as a critical resource within the Vice Chancellor for… more
- Sedgwick Government Solutions (Atlanta, GA)
- Job Details Quality Management Specialist ( Remote ) 2025-1418 Atlanta, GA, USA Operations Full Time Description **Quality Management Specialist ** ** Remote ... our Quality Management System (QMS) for a high-profile client. The Quality Management Specialist (QMS), you will work from your home office from Monday to Friday,… more
- KBR (Houston, TX)
- Title: HSE Specialist ( Remote ) Belong, Connect, Grow, with KBR! Program Summary KBR's Readiness and Sustainment division is the Team Behind the Mission(R). We ... You'll Do: As a Health, Safety, and Environmental (HSE) Specialist , you will play a crucial role supporting our...documentation to determine a candidate's fitness for duty in remote locations. This will include building a knowledge base… more
- Koniag Government Services (Chantilly, VA)
- …Koniag Government Services company, is seeking a Financial/Oracle Fusion Functional Specialist to support **KMS** and our government customer. **This position ... candidate to be able to obtain a Public Trust. This is a Remote opportunity.** We offer competitive compensation and an extraordinary benefits package including… more
- Pearl Interactive Network (Columbus, OH)
- **Pearl Interactive Network is recruiting to hire an Accounting Specialist (AP).** The **Accounting Specialist ** contributes daily to the corporate mission and ... - 5 pm EST, Monday - Friday **Preferred Location:** Remote , WFH position. **Technical Equipment, and Remote ...and other departments, as directed, with special projects. + Provide support for audits, as directed. + Other duties… more
- Spectrum Billing Solutions (Skokie, IL)
- …skills. RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist | Revenue Cycle Contracting Specialist | Medical Billing ... our team has the option to work 100% fully remote . Your Responsibilities: + Complete provider credentialing...with third-party carriers and government health plans. + Review provider credentialing and contracting information to ensure… more
- Cayuse Holdings (Columbus, OH)
- …trends primarily for Federal, Civilian and Defense clients. The Pricing Specialist applies in-depth knowledge of government contracting , federal regulations, ... specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834356743) **Location** _US-_ **ID** _102817_ **Category** _Marketing_ **Position Type** _Full-Time Salary Exempt_ ** Remote ** _Yes_ **Clearance… more