Support audit preparation and medical record organization as directed Qualifications * 3+ years of experience in healthcare contracting, credentialing, or a combined role * Demonstrated experience ...
Quick apply
Support audit preparation and medical record organization as directed Qualifications * 3+ years of experience in healthcare contracting, credentialing, or a combined role * Demonstrated experience ...
Quick apply
Support audit preparation and medical record organization as directed Qualifications * 3+ years of experience in healthcare contracting, credentialing, or a combined role * Demonstrated experience ...
Preferred applicants bring experience from ambulance operations, emergency departments, critical-care units, flight medicine, or prior medical contracting, as well as those with backgrounds as Army ...
Preferred applicants bring experience from ambulance operations, emergency departments, critical-care units, flight medicine, or prior medical contracting, as well as those with backgrounds as Army ...
We work with hospitals, labs, and medical offices that depend on precise, on-time service every single day. Our contractors aren't picking up whatever comes in. They're running structured routes for ...
We work with hospitals, labs, and medical offices that depend on precise, on-time service every single day. Our contractors aren't picking up whatever comes in. They're running structured routes for ...
We work with hospitals, labs, and medical offices that depend on precise, on-time service every single day. Our contractors aren't picking up whatever comes in. They're running structured routes for ...
We work with hospitals, labs, and medical offices that depend on precise, on-time service every single day. Our contractors aren't picking up whatever comes in. They're running structured routes for ...
We work with hospitals, labs, and medical offices that depend on precise, on-time service every single day. Our contractors aren't picking up whatever comes in. They're running structured routes for ...
Quick apply
We work with hospitals, labs, and medical offices that depend on precise, on-time service every single day. Our contractors aren't picking up whatever comes in. They're running structured routes for ...
New York, NY ยท On-site
Working knowledge of Medical benefit products economics such as ASP pricing, physician reimbursement and interplay between Pharmacy and Medical contracting * Ability to develop insights and ...
New York, NY ยท On-site
Working knowledge of Medical benefit products economics such as ASP pricing, physician reimbursement and interplay between Pharmacy and Medical contracting * Ability to develop insights and ...
New York, NY ยท On-site +1
Working knowledge of Medical benefit products economics such as ASP pricing, physician reimbursement and interplay between Pharmacy and Medical contracting * Ability to develop insights and ...
Quick apply
New York, NY ยท On-site +1
Working knowledge of Medical benefit products economics such as ASP pricing, physician reimbursement and interplay between Pharmacy and Medical contracting * Ability to develop insights and ...
New York, NY ยท On-site +1
Working knowledge of Medical benefit products economics such as ASP pricing, physician reimbursement and interplay between Pharmacy and Medical contracting. * Ability to develop insights and ...
Quick apply
New York, NY ยท On-site +1
Working knowledge of Medical benefit products economics such as ASP pricing, physician reimbursement and interplay between Pharmacy and Medical contracting. * Ability to develop insights and ...
The WHS will report to the WHC Area General Manager (AGM) and be a key member of the Area Customer Squad, working closely and collaborating with Marketing, Medical, Contracting, Market Access ...
The WHS will report to the WHC Area General Manager (AGM) and be a key member of the Area Customer Squad, working closely and collaborating with Marketing, Medical, Contracting, Market Access ...
New York, NY ยท Remote
$186K - $311K/yr
Strategic account management, business planning, profiling and documenting of insights to inform Market Access Contracting & Brand Strategy and Medical Teams for assigned accounts * Develop lasting ...
New York, NY ยท Remote
$186K - $311K/yr
Strategic account management, business planning, profiling and documenting of insights to inform Market Access Contracting & Brand Strategy and Medical Teams for assigned accounts * Develop lasting ...
Concord, NC ยท Remote
$186K - $311K/yr
Strategic account management, business planning, profiling and documenting of insights to inform Market Access Contracting & Brand Strategy and Medical Teams for assigned accounts * Develop lasting ...
Concord, NC ยท Remote
$186K - $311K/yr
Strategic account management, business planning, profiling and documenting of insights to inform Market Access Contracting & Brand Strategy and Medical Teams for assigned accounts * Develop lasting ...
Provide peer review of medical contractor's clinical care audits and continuous quality improvement studies, as well as directly auditing contracted medical providers. * Provide independent physician ...
Provide peer review of medical contractor's clinical care audits and continuous quality improvement studies, as well as directly auditing contracted medical providers. * Provide independent physician ...
The WHS will report to the WHC Area General Manager (AGM) and be a key member of the Area Customer Squad, working closely and collaborating with Marketing, Medical, Contracting, Market Access ...
The WHS will report to the WHC Area General Manager (AGM) and be a key member of the Area Customer Squad, working closely and collaborating with Marketing, Medical, Contracting, Market Access ...
New York, NY ยท On-site
Working knowledge of Medical benefit products economics such as ASP pricing, physician reimbursement and interplay between Pharmacy and Medical contracting. * Ability to develop insights and ...
New York, NY ยท On-site
Working knowledge of Medical benefit products economics such as ASP pricing, physician reimbursement and interplay between Pharmacy and Medical contracting. * Ability to develop insights and ...
Support implementation of pull-through initiatives that accelerate demand and contract performance on contracted accounts and also priority accounts such as; IDNs, Academic Medical Centers, etc;
Support implementation of pull-through initiatives that accelerate demand and contract performance on contracted accounts and also priority accounts such as; IDNs, Academic Medical Centers, etc;
The WHS will report to the WHC Area General Manager (AGM) and be a key member of the Area Customer Squad, working closely and collaborating with Marketing, Medical, Contracting, Market Access ...
The WHS will report to the WHC Area General Manager (AGM) and be a key member of the Area Customer Squad, working closely and collaborating with Marketing, Medical, Contracting, Market Access ...
Support implementation of pull-through initiatives that accelerate demand and contract performance on contracted accounts and also priority accounts such as; IDNs, Academic Medical Centers, etc;
Support implementation of pull-through initiatives that accelerate demand and contract performance on contracted accounts and also priority accounts such as; IDNs, Academic Medical Centers, etc;
As part of the Clinical Medical Contracting Center of Excellence, this position leads the negotiation and administration of a broad range of clinical research agreements. The Sr. Manager ensures all ...
As part of the Clinical Medical Contracting Center of Excellence, this position leads the negotiation and administration of a broad range of clinical research agreements. The Sr. Manager ensures all ...
Los Angeles, CA ยท Remote
$186K - $311K/yr
Strategic account management, business planning, profiling and documenting of insights to inform Market Access Contracting & Brand Strategy and Medical Teams for assigned accounts * Develop lasting ...
Los Angeles, CA ยท Remote
$186K - $311K/yr
Strategic account management, business planning, profiling and documenting of insights to inform Market Access Contracting & Brand Strategy and Medical Teams for assigned accounts * Develop lasting ...
As part of the Clinical Medical Contracting Center of Excellence, this position leads the negotiation and administration of a broad range of clinical research agreements. The Sr. Manager ensures all ...
As part of the Clinical Medical Contracting Center of Excellence, this position leads the negotiation and administration of a broad range of clinical research agreements. The Sr. Manager ensures all ...
$17.29 is the 25th percentile. Wages below this are outliers.
$13.22 - $29.50
100% of jobs
$29.50 - $45.78
0% of jobs
$45.78 - $62.06
0% of jobs
$62.06 - $78.34
0% of jobs
$78.34 - $94.62
0% of jobs
$94.62 - $110.90
0% of jobs
$110.90 - $127.19
0% of jobs
$127.19 - $143.47
0% of jobs
$143.47 - $159.75
0% of jobs
$159.75 - $176.03
0% of jobs
$176.03 - $192.31
0% of jobs
$13
$76
$192
| Aspect | Medical Contracting | Medical Billing Specialist |
|---|---|---|
| Credentials | Certifications like CPC, CCS, or similar | Certifications like CPC, CCS, or similar |
| Work Environment | Healthcare facilities, clinics, or remote | Healthcare facilities, billing companies, or remote |
| Industry Usage | Used for managing healthcare contracts and negotiations | Focused on processing insurance claims and billing |
Medical Contracting involves managing healthcare agreements, negotiations, and compliance, often requiring similar certifications as Medical Billing Specialists. In contrast, Medical Billing Specialists focus on submitting claims, coding, and ensuring payment from insurers. While both roles operate within the healthcare revenue cycle, Medical Contracting emphasizes contract management, whereas Medical Billing Specialists handle billing and claims processing.

Full-time
Medical, Dental, Vision, Retirement, PTO
Posted yesterday
Overview
Pedes Orange County is seeking an experienced Contracting & Credentialing Specialist to manage the full lifecycle of provider credentialing, facility credentialing, and payor and ancillary contracting for our growing vascular practice. This role is the internal subject matter expert for all credentialing and contracting functions and works closely with clinical leadership, billing, and executive management to protect revenue, maintain compliance, and ensure uninterrupted provider participation across all payors and facilities.
This is a mid-level position requiring strong attention to detail, knowledge of healthcare contracting and credentialing processes, and the ability to manage multiple concurrent timelines without oversight.
Key Responsibilities
Provider Credentialing Payors, Facilities & Hospitals
Joint Commission & Facility Accreditation
Payor Contracting Fee-for-Service & Ancillary
Payor Contract Renegotiation Support
Provider & Facility Licensing Renewals
Medical Records Secondary Support
Qualifications
Education & Certification
Schedule & Compensation
Benefits
Sourced by ZipRecruiter
Health care and social assistance
11 - 50 Employees
Newport Beach, CA, US
2012