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Home Based Healthcare Contracting Jobs (NOW HIRING)

ABI Resources

Bristol | Home Health Care

Bristol, CT · On-site

$15.50 - $18/hr

RESOURCES Achieve Better Independence Providing Home-Based Disability Support Services Across ... law. Healthcare | Caregiver | Home Health | Aide, Companion | RA Recovery | Assistant | ILST ...

ABI Resources LLC

Storrs | Home Health Care

Storrs, CT

$15.75 - $18.25/hr

RESOURCES Achieve Better Independence Providing Home-Based Disability Support Services Across ... law. Healthcare | Caregiver | Home Health | Aide, Companion | RA Recovery | Assistant | ILST ...

Vivie

Director of Home Health

Saint Paul, MN · On-site

Your leadership will shape how we grow, serve, and innovate in home-based healthcare. As a Director of Home Health, you will: Oversee Home Health Operations * Provide day-to-day oversight of multiple ...

Elara Caring

LPN / LVN - Home Health

Beverly, MA · On-site

$32 - $38/hr

... home-based healthcare--one patient, one family, and one community at a time. Equal Employment Opportunity : We are proud to be an equal opportunity workplace and comply with state and federal ...

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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

Manager-Provider Contracts

Baptist Memorial Health Care Corporation

Memphis, TN • On-site

$92K - $123K/yr

Full-time

Re-posted 23 days ago

Baptist Memorial Health Care rating

7.3

Company rating: 7.3 out of 10

Based on 113 frontline employees who took The Breakroom Quiz

307th of 887 rated healthcare providers

Job description


Manager-Provider Relations
Job Code: 22242
FLSA Status
Job Family: ADMIN SUPPORT
Job Summary
Identifies, evaluates and negotiates contracting opportunities to grow the existing business, develop new business and expand provider network. In-depth understanding of health care and managed care contracting concepts, reimbursement, methodologies, and health benefit plan designs. Perceptive of general market conditions and the managed care market both provider and payor. Ensures application of appropriate business and legal protocol for contracting services to comply with organization and departmental missions. Serves as liaison for contract communication with other organizational representatives. Manages contract department, support staff, contract document control, and renewal process for payor contracts.
Job Responsibilities
  • Identifies and evaluates managed care contracting opportunities to grow the existing business, develop new business with various third party payors, including but not limited to insurance carriers, third-party administrators, managed care networks, self-funded payors, business alliances and provider organizations and to expand the provider network. Analyzes contract opportunities utilizing contract guidelines in order to improve organization's market share.
  • Negotiates contracts with various providers and third party payors. Manages the necessary interface to bring these negotiated contracts to closure and inform senior management of contract activity.
  • Maintains proficient knowledge of managed care contracting concepts, including but not limited to reimbursement methodologies, e.g., capitation, per diems, DRGs, case rates, and discounted fee-for-service; and, health benefit plan designs, including PPO, POS, EPO and HMO. Extrapolates information from payor's health benefit plans and health care reimbursement arrangements to complete contract summaries, contract information loadsheets and other reports as required to meet organizational obligations.
  • Maintains current knowledge of managed care market and market trends, both provider and payor.
  • Ensures that appropriate business and legal protocol are applied for contracting services to ensure compliance with organization and departmental missions; consults with legal on contracting issues.
  • Serves as liaison for contract communication with other organizational representatives; manages document control of contract file.
  • Manages renewal process for payor contracts, including renegotiation. Analyzes utilization data submitted for contract renewal by following contracting guidelines to monitor contract performance.
  • Performs other duties as assigned.

Specifications
Experience
Description
Minimum Required: 3 years experience with health care contracting with health care reimbursement and health benefit plan experience.
Preferred/Desired
Education
Description
Minimum Required: Bachelors degree in health care administration or business administration.
Preferred/Desired: Masters degree in health care administration or related field
Training
Description
Minimum Required
Preferred/Desired
Special Skills
Description
Minimum Required: Effective in making effective presentations to various provider and payor groups; strong analytical, negotiation, leadership, marketing, and verbal/written communication skills.
Preferred/Desired
Licensure
Description
Minimum Required
Preferred/Desired

What Baptist Memorial Health Care employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Baptist Memorial

Sourced by ZipRecruiter

Baptist Memorial, based in Memphis, TN, US, is a leading health care organization renowned in the healthcare industry. The company's official website is baptistonline.org which provides a comprehensive view of their services and operations. Baptist Memorial operates a myriad of hospitals, health clinics, and medical facilities providing expert and compassionate care. Founded in 1912, it has a rich legacy of over a hundred years of dedication to its community, offering services which include acute care, diagnostic services, and a broad range of speciality health services fulfilling various patient needs.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Memphis, TN, US

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