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Home Based Healthcare Contracting Jobs (NOW HIRING)

Progyny

Senior Director, Healthcare Contracting

We are seeking a Senior Director of Healthcare Contracting to lead and scale our end-to-end ... This is not a digital nomad or remote international position; candidates must be based in the ...

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Home Based Healthcare Contracting information

What is the difference between Home Based Healthcare Contracting vs Home Health Aide?

AspectHome Based Healthcare ContractingHome Health Aide
CredentialsVaries; often requires certifications like CPR, health-related trainingTypically requires certification or training specific to caregiving
Work EnvironmentIndependent contracting, flexible hours, often self-employedEmployed by agencies or families, scheduled shifts in clients' homes
Employer & Industry UsageFreelance or agency-based, healthcare industryHome healthcare agencies, healthcare industry
Search & Comparison IntentUnderstanding contracting roles, flexibility, certificationsCaregiving duties, certifications, employment options

Home Based Healthcare Contracting involves independent work with flexible hours and varied certifications, while Home Health Aides are typically employed by agencies to provide direct patient care in clients' homes. Both roles serve the home healthcare industry but differ in employment structure and responsibilities.

What cities are hiring for Home Based Healthcare Contracting jobs?

Cities with the most Home Based Healthcare Contracting job openings:

What are the most commonly searched types of Healthcare Contracting jobs?

The most popular types of Healthcare Contracting jobs are:

Home Based Healthcare Contracting jobs near you

Healthcare Contracting Specialist

Provider Network Solutions

Remote

$60K - $63K/yr

Other

Posted 9 days ago

Job description

Job Type
Full-time
Description
Position Summary
Manages physician contracting and network development functions for developing, executing and maintaining a provider network strategy statewide. Works in concert with medical management and the Provider Servicing Department in developing actions to meet market growth and medical cost targets.
Duties and Responsibilities
• Primary duty of negotiating and executing provider contracts.
• Leads research for any Institution, Network and/or Ancillary needs using all tools available; including but not limited to: WebMD, Health Plan websites, hospitals, google, etc.
• Provider networks contracting for initial network development and/or expansion in accordance with Company goals and standards.
• Meet with the appropriate physician personnel and fully explain the Company's protocol, which includes all requirements necessary to comply with standards identified in the Provider Manual.
• Collects complete credentialing packets per specified health plan and according to the Networks Credentialing checklist from network physicians during the contracting process.
• Ensures that the provider network consists of Board Certified/Board Eligible Specialists and/or Ancillary providers as contracted by the network.
• Manages physician network by developing relationships to drive business results within assigned geographic area.
• Liaison in conjunction with Contracting and Credentialing Coordinator, for all health plans on all new contracting inquiries.
• Obtains leads for prospective physicians, manages all incoming new provider leads and follows-up with the providers on the status of their new contractual agreement per the Department's Policies and Procedures.
• Strategizes to close all quarterly assigned Geo Access deficiencies per specialty and health plan.
• Special projects as assigned or directed.
• Negotiating and executing hospital contracts.
• Maintaining and updating current CRM platform (Monday.com) to reflect progress of ongoing leads negotiations.
Requirements
Knowledge
• A bachelor's degree in a related field or equivalent experience related Network Development or Provider Relations experience.
• Minimum three (3) years' experience in Medicaid/Medicare is preferred.
• Healthcare, provider office or HMO/PPO background preferred.
• Strong knowledge of regulatory requirements concerning Medicare and Medicaid.
Skills
• Excellent problem-solving skills.
• Excellent oral and written communication skills.
• Bilingual language skills a plus.
• Intermediate or stronger skill level with MS Word, Excel, Outlook and PowerPoint.
Travel
Yes, 95% of the time or as otherwise required by the company.
Region 6: Hardee, Highlands, Hillsborough, Manatee and Polk
Region 8: Charlotte, Collier, DeSoto, Glades, Hendry, Lee, and Sarasota
Salary Description
$60,000.00 - $63,000.00 per year

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