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Provider Contracting Specialist (REMOTE)


Pay$62856.00 - $124839.00 / year
LocationBaltimore/Maryland
Employment typeFull-Time

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  • Job Description

      Req#: 20335
      Employer Industry: Health Insurance

      Why consider this job opportunity:
      - Salary up to $124,839
      - Comprehensive benefits package and various incentive programs
      - Opportunity for career advancement and growth within the organization
      - Collaborative and supportive work environment
      - Chance to lead impactful projects in healthcare contracting and provider relations

      What to Expect (Job Responsibilities):
      - Negotiate cost-effective and complex contracts with providers to enhance the provider network
      - Develop and present business cases to senior management to support contracting initiatives
      - Educate providers on value propositions and collaborate on value-based arrangements
      - Ensure compliance with regulatory requirements and manage the provider credentialing process
      - Work with the Reimbursement Department to develop financial projections and manage RFP processes

      What is Required (Qualifications):
      - Bachelor's Degree in Business, Finance, Health Care Administration, or related discipline, or equivalent work experience
      - Minimum of 2 years in healthcare or a related field, with 1 year in contracting or provider relations
      - Deep understanding of reimbursement methodologies used in healthcare provider contracting
      - Proven ability to build strong collaborative business relationships
      - Effective negotiation skills and superior PC skills, including financial analysis

      How to Stand Out (Preferred Qualifications):
      - Master's degree in Business or Health Care Administration
      - Experience with electronic contract management systems
      - Strong knowledge of health care financial matters and third-party payment methodologies
      - Ability to function as a subject matter expert for assigned networks
      - Effective time and project management skills

      #HealthInsurance #ContractNegotiation #CareerOpportunity #HealthcareCareers #ProviderRelations

      "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
  • About the company

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