The Provider Contracting, Credential, and Load Specialist has responsibility for network ... Ability to work at a self-directed pace in a changing, multi-task environment * Professional ...
The Provider Contracting, Credential, and Load Specialist has responsibility for network ... Ability to work at a self-directed pace in a changing, multi-task environment * Professional ...
The Provider Contracting, Credential, and Load Specialist has responsibility for network ... Ability to work at a self-directed pace in a changing, multi-task environment * Professional ...
The Provider Contracting, Credential, and Load Specialist has responsibility for network ... Ability to work at a self-directed pace in a changing, multi-task environment * Professional ...
... Medical Directors and management on cost-of-care issues. Works on large-scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop a contracting ...
... Medical Directors and management on cost-of-care issues. Works on large-scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop a contracting ...
... Medical Directors and management on cost-of-care issues. Works on large-scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop a contracting ...
... Medical Directors and management on cost-of-care issues. Works on large-scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop a contracting ...
Director of Payor Contracting - Infusion
Indianapolis, IN · On-site
$165K - $247K/yr
Director of Payor Contracting - Infusion Director of Payor Contracting - Infusion Location: This ... would provide an equivalent background. Preferred Skills, Capabilities, and Experience: * MBA ...
Director of Payor Contracting - Infusion
Indianapolis, IN · On-site
$165K - $247K/yr
Director of Payor Contracting - Infusion Director of Payor Contracting - Infusion Location: This ... would provide an equivalent background. Preferred Skills, Capabilities, and Experience: * MBA ...
Director of Payor Contracting - Infusion
Indianapolis, IN · On-site
$165K - $247K/yr
Director of Payor Contracting - Infusion Director of Payor Contracting - Infusion Location: This ... would provide an equivalent background. Preferred Skills, Capabilities, and Experience: * MBA ...
Director of Payor Contracting - Infusion
Indianapolis, IN · On-site
$165K - $247K/yr
Director of Payor Contracting - Infusion Director of Payor Contracting - Infusion Location: This ... would provide an equivalent background. Preferred Skills, Capabilities, and Experience: * MBA ...
Director of Payor Contracting - Infusion
Indianapolis, IN · On-site
$165K - $247K/yr
Director of Payor Contracting - Infusion Location: This field-based role enables associates to ... would provide an equivalent background. Preferred Skills, Capabilities, and Experience: * MBA ...
Director of Payor Contracting - Infusion
Indianapolis, IN · On-site
$165K - $247K/yr
Director of Payor Contracting - Infusion Location: This field-based role enables associates to ... would provide an equivalent background. Preferred Skills, Capabilities, and Experience: * MBA ...
Lead Director, Pharmaceutical Contracting
Bloomington, IN · On-site +1
$100K - $231K/yr
In this Director level role you will have the opportunity to have a significant impact in costs for ... You will have an opportunity to directly work with pharmaceutical manufacturers and provide ...
Lead Director, Pharmaceutical Contracting
Bloomington, IN · On-site +1
$100K - $231K/yr
In this Director level role you will have the opportunity to have a significant impact in costs for ... You will have an opportunity to directly work with pharmaceutical manufacturers and provide ...
... contracting, provider relations, and provider servicing; or any combination of education and ... Director Equivalent Workshift: Job Family: PND > Pricing Configuration Please be advised that ...
... contracting, provider relations, and provider servicing; or any combination of education and ... Director Equivalent Workshift: Job Family: PND > Pricing Configuration Please be advised that ...
Provider Reimbursement & Prepay Editing Director
$102K - $169K/yr
... contracting, provider relations, and provider servicing; or any combination of education and ... without direct authority preferred. * Experience supporting audit, regulatory, and compliance ...
Provider Reimbursement & Prepay Editing Director
$102K - $169K/yr
... contracting, provider relations, and provider servicing; or any combination of education and ... without direct authority preferred. * Experience supporting audit, regulatory, and compliance ...
Be Seen First
Provider Relations Specialist - Contracting, Credential and Load Reports To: Provider Relations ... Ability to work at a self-directed pace in a changing, multi-task environment * Professional ...
Quick apply
Be Seen First
Provider Relations Specialist - Contracting, Credential and Load Reports To: Provider Relations ... Ability to work at a self-directed pace in a changing, multi-task environment * Professional ...
Provider Relations Specialist - Contracting, Credential and Load Reports To : Provider Relations ... directed pace in a changing, multi-task environment - Professional appearance and presence ...
Quick apply
Provider Relations Specialist - Contracting, Credential and Load Reports To : Provider Relations ... directed pace in a changing, multi-task environment - Professional appearance and presence ...
... CVO Alliance) contracted providers. Coordinates efforts with physicians and providers ... Completing other job-related assignments and special projects as directed. Ensures the timely ...
... CVO Alliance) contracted providers. Coordinates efforts with physicians and providers ... Completing other job-related assignments and special projects as directed. Ensures the timely ...
Medical Director - Job Summary The Medical Director provides senior clinical leadership and ... Contracted care management teams Qualifications Education & Experience * MD or DO, board-certified ...
Medical Director - Job Summary The Medical Director provides senior clinical leadership and ... Contracted care management teams Qualifications Education & Experience * MD or DO, board-certified ...
Medical Director - Job Summary The Medical Director provides senior clinical leadership and ... Contracted care management teams Qualifications Education & Experience * MD or DO, board-certified ...
Medical Director - Job Summary The Medical Director provides senior clinical leadership and ... Contracted care management teams Qualifications Education & Experience * MD or DO, board-certified ...
Medical Director
Indianapolis, IN · On-site
The Medical Director provides senior clinical leadership and oversight across assigned health ... Contracted care management teams Qualifications Education & Experience * MD or DO, board-certified ...
Medical Director
Indianapolis, IN · On-site
The Medical Director provides senior clinical leadership and oversight across assigned health ... Contracted care management teams Qualifications Education & Experience * MD or DO, board-certified ...
Medical Director - Job Summary The Medical Director provides senior clinical leadership and ... Contracted care management teams Qualifications Education & Experience * MD or DO, board-certified ...
Medical Director - Job Summary The Medical Director provides senior clinical leadership and ... Contracted care management teams Qualifications Education & Experience * MD or DO, board-certified ...
Medical Director
Kokomo, IN · On-site
Medical Director - Job Summary The Medical Director provides senior clinical leadership and ... Contracted care management teams Qualifications Education & Experience * MD or DO, board-certified ...
Medical Director
Kokomo, IN · On-site
Medical Director - Job Summary The Medical Director provides senior clinical leadership and ... Contracted care management teams Qualifications Education & Experience * MD or DO, board-certified ...
Medical Director
Indianapolis, IN · On-site
Medical Director - Job Summary The Medical Director provides senior clinical leadership and ... Contracted care management teams Qualifications Education & Experience * MD or DO, board-certified ...
Medical Director
Indianapolis, IN · On-site
Medical Director - Job Summary The Medical Director provides senior clinical leadership and ... Contracted care management teams Qualifications Education & Experience * MD or DO, board-certified ...
Assistant Safety Director
Fort Wayne, IN · On-site
... Contractors list. We are a performance-driven company that believes in rewarding excellence and ... The Assistant Safety Director provides leadership for safety planning, execution, and team ...
Assistant Safety Director
Fort Wayne, IN · On-site
... Contractors list. We are a performance-driven company that believes in rewarding excellence and ... The Assistant Safety Director provides leadership for safety planning, execution, and team ...
Director Provider Contracting information
See Indiana salary details
$37.1K - $48.7K
5% of jobs
$48.7K - $60.4K
9% of jobs
$66.4K is the 25th percentile. Wages below this are outliers.
$60.4K - $72K
20% of jobs
$72K - $83.7K
15% of jobs
The median wage is $84.3K / yr.
$83.7K - $95.3K
9% of jobs
$95.3K - $106.9K
9% of jobs
$116K is the 75th percentile. Wages above this are outliers.
$106.9K - $118.6K
8% of jobs
$118.6K - $130.2K
8% of jobs
$130.2K - $141.8K
8% of jobs
$141.8K - $153.5K
5% of jobs
$153.5K - $165.1K
1% of jobs
$37.1K
$96K
$165.1K
How much do director provider contracting jobs pay per year?
What does a Director of Provider Contracting do?
What is the difference between Director Provider Contracting vs Contract Manager?
| Aspect | Director Provider Contracting | Contract Manager |
|---|---|---|
| Credentials | Typically requires a bachelor’s degree in healthcare administration, business, or related field; often with experience in healthcare contracting | Usually requires a bachelor’s degree in business, management, or related field; certifications like CPM or CPCM are common |
| Work Environment | Healthcare organizations, insurance companies, or managed care organizations | Various industries including healthcare, manufacturing, and corporate sectors |
| Primary Focus | Negotiating and managing provider contracts, ensuring compliance, and optimizing provider networks | Drafting, analyzing, and managing contractual agreements across departments or projects |
The main difference is that the Director Provider Contracting focuses specifically on healthcare provider agreements and network management, while the Contract Manager handles a broader range of contracts across different industries. Both roles require strong negotiation skills and contract knowledge, but the Director Provider Contracting is specialized in healthcare settings.
How does a Director of Provider Contracting typically collaborate with other departments within a healthcare organization?
What are the key skills and qualifications needed to thrive as a Director Provider Contracting, and why are they important?
Other
Posted 9 days ago
Job description
Job Title: Provider Relations Specialist – Contracting, Credential and Load
Reports To: Provider Relations Supervisor
Job Summary:
This is a non-exempt position. The Provider Contracting, Credential, and Load Specialist has responsibility for network contracting with Professional and Ancillary providers and serving as the relationship coordinator for our PPO rental networks. The position also has responsibilities for researching and confirming credentialing information (work history, malpractice history, hospital privileges, etc.) on contracted providers. The Specialist loads both new provider information and all updates to current providers into the SIHO system and prepares files for SIHO Credentialing Committee review. Assisting our Sales, Account Management, Reinsurance, and Finance teams in understanding and quantifying our network strengths and weaknesses.
Brief Description of Duties:
- Prepare, execute, and maintain provider contracts with Professional and Ancillary providers, including renegotiation with current SIHO Network providers.
- Function as the point-of-contact for all on-going contractual issues as needed by providers.
- Negotiate Single Case Agreements (SCA) with non-participating providers as requested by Medical Management and Account Management.
- Work closely with and provide support to Health Systems Development, Sales, and Account Management to provide network support for new business development initiatives.
- Work with and provide support to Provider Services Specialists on contractual issues and to assure smooth and efficient operations.
- Establish and maintain good relationships between SIHO and its network providers
- Provide education to physicians, facilities, and ancillary providers
- Training of newly contracted health care providers on SIHO’s policies and procedures
- Recognize and handle potential issues appropriately
- Handle issues within the Provider Services department internally and externally
- Complete special projects as assigned by the Provider Relations Supervisor
- Inform the Provider Relations Supervisor of important updates
- Assist in creating new projects to streamline the functions of the department
- Work with Provider Relations staff and internal/external customers to assure smooth and efficient operations
- Credential and re-credential providers by utilizing verification sources
- Enter and maintain provider load information in the SIHO system
- Coordinate with PPO Networks, Data Management, Reinsurance, and Finance to ensure our networks competitiveness is appropriately reflected in our pricing.
Minimum Skills Requirement:
- Experience in a managed care organization preferred
- (Internal candidates) Current SIHO performance evaluation of at least "3" (Performance achieved requirements of job.)
- Strong communication (oral and written) skills
- Demonstrated problem solving and analytical skills
- Knowledge of health insurance, billing, and/or claims processing
- Ability to work at a self-directed pace in a changing, multi-task environment
- Professional appearance and presence
- Ability to project and maintain a positive attitude internally and externally
- Intermediate understanding of Word, Excel, database, and web-based technology
- Ability to maintain strict confidentiality
- Must be good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
- All positions are subject to change based on the needs of the business