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Provider Contracts Specialist


PayCompetitive
LocationLong Beach/California
Employment typeFull-Time

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  • Job Description

      Req#: 300001250713094
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Opportunity for career advancement and growth within the organization
      - Competitive benefits and compensation package
      - Engaging work environment focused on network strategy and provider relations
      - Chance to make a positive impact on network adequacy and provider performance
      - Regular travel to meet targeted needs, enhancing professional networking

      What to Expect (Job Responsibilities):
      - Negotiate and track provider Letters of Agreement, contracts, and amendments from initial draft to execution
      - Support network development through research, recruitment, and negotiation with providers
      - Evaluate provider networks and implement strategic plans to meet adequacy standards
      - Communicate contract terms, payment structures, and reimbursement rates to various healthcare providers
      - Coordinate the preparation and distribution of documents to complete the contracting process

      What is Required (Qualifications):
      - Associate's Degree in a related field or equivalent combination of education and experience
      - 2 - 4 years of provider contract support or negotiation experience in the healthcare field
      - Strong knowledge of managed care organizations or healthcare settings
      - Exceptional communication and organizational skills
      - Ability to travel regularly throughout designated regions

      How to Stand Out (Preferred Qualifications):
      - Bachelor's Degree in a related field or equivalent combination of education and experience
      - 1-3 years of managed care experience
      - Familiarity with healthcare provider networks and contract management

      #HealthcareServices #ProviderRelations #ContractNegotiation #CareerOpportunity #CompetitiveBenefits

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      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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