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Senior Provider Contracts Specialist (Remote in MI)
PayCompetitive
LocationLong Beach/California
Employment typeFull-Time
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Job Description
- Req#: 300001226527386
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive benefits and compensation package
- Engage in meaningful work that supports network development and provider relations
- Collaborate with various departments to ensure effective business results
- Supportive work environment with training for new team members
What to Expect (Job Responsibilities):
- Negotiate and manage provider contracts, ensuring compliance with business and system requirements
- Track and report on provider Letters of Agreement, contracts, and amendments
- Assist in the recruitment and negotiation process with medical groups and hospitals
- Communicate contract terms and reimbursement structures to providers clearly and professionally
- Participate in special projects related to contracting as directed by management
What is Required (Qualifications):
- Bachelor’s Degree or equivalent work experience in the healthcare field
- 4-6 years of previous experience in contracting with large specialty or multispecialty provider groups
- 1-3 years of managed care experience
- Strong communication skills to convey complex information effectively
- Ability to travel regularly throughout designated regions
How to Stand Out (Preferred Qualifications):
- Knowledge of integrated delivery systems and contracts with hospitals and specialty groups
- Certified Recovery Peer Specialist certification in the state of Florida
#HealthcareServices #ProviderNetwork #ContractManagement #CareerOpportunity #CompetitiveBenefits
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