Provider Network Rep
Cincinnati, OH ยท On-site
Everything in bold was added by the hiring manager** Position Purpose: Perform duties to act as a ... network and assist with claim resolution. Serve as primary contact for providers and act as a ...
Cincinnati, OH ยท On-site
Everything in bold was added by the hiring manager** Position Purpose: Perform duties to act as a ... network and assist with claim resolution. Serve as primary contact for providers and act as a ...
Cincinnati, OH ยท On-site
Everything in bold was added by the hiring manager** Position Purpose: Perform duties to act as a ... network and assist with claim resolution. Serve as primary contact for providers and act as a ...
$86K - $114K/yr
We are seeking a detail-oriented and proactive Contract Manager to oversee our end-to-end legal ... We will also provide up to $500 to help with equipment, furniture and accessories. You will also ...
$86K - $114K/yr
We are seeking a detail-oriented and proactive Contract Manager to oversee our end-to-end legal ... We will also provide up to $500 to help with equipment, furniture and accessories. You will also ...
Columbus, OH ยท On-site
$86K - $114K/yr
We are seeking a detail-oriented and proactive Contract Manager to oversee our end-to-end legal ... We will also provide up to $500 to help with equipment, furniture and accessories. You will also ...
Columbus, OH ยท On-site
$86K - $114K/yr
We are seeking a detail-oriented and proactive Contract Manager to oversee our end-to-end legal ... We will also provide up to $500 to help with equipment, furniture and accessories. You will also ...
Columbus, OH ยท On-site
$86K - $114K/yr
We are seeking a detail-oriented and proactive Contract Manager to oversee our end-to-end legal ... We will also provide up to $500 to help with equipment, furniture and accessories. You will also ...
Quick apply
Columbus, OH ยท On-site
$86K - $114K/yr
We are seeking a detail-oriented and proactive Contract Manager to oversee our end-to-end legal ... We will also provide up to $500 to help with equipment, furniture and accessories. You will also ...
$85K - $114K/yr
Provide redlined recommendations and negotiate mutually acceptable contract language while balancing business objectives and risk exposure. * Collaborate with Sales, Marketing, Product Management ...
$85K - $114K/yr
Provide redlined recommendations and negotiate mutually acceptable contract language while balancing business objectives and risk exposure. * Collaborate with Sales, Marketing, Product Management ...
Cincinnati, OH ยท On-site
$85K - $114K/yr
Provide redlined recommendations and negotiate mutually acceptable contract language while balancing business objectives and risk exposure. * Collaborate with Sales, Marketing, Product Management ...
Cincinnati, OH ยท On-site
$85K - $114K/yr
Provide redlined recommendations and negotiate mutually acceptable contract language while balancing business objectives and risk exposure. * Collaborate with Sales, Marketing, Product Management ...
Mason, OH ยท Hybrid
$111K - $166K/yr
Acts as the primary contract resource for internal teams; provides contract education to support ... network participation inquiries. Minimum Requirements: Requires a Bachelor's degree in Business ...
Mason, OH ยท Hybrid
$111K - $166K/yr
Acts as the primary contract resource for internal teams; provides contract education to support ... network participation inquiries. Minimum Requirements: Requires a Bachelor's degree in Business ...
Cincinnati, OH ยท On-site +1
$85K - $114K/yr
Contract and budget negotiation experience; * 3+ years of management or oversight experience ... providing phase l-lV clinical development services to the biotechnology, pharmaceutical, and ...
Cincinnati, OH ยท On-site +1
$85K - $114K/yr
Contract and budget negotiation experience; * 3+ years of management or oversight experience ... providing phase l-lV clinical development services to the biotechnology, pharmaceutical, and ...
Cincinnati, OH ยท On-site
$85K - $114K/yr
Contract and budget negotiation experience; * 3+ years of management or oversight experience ... We provide Phase I-IV clinical development services to the biotechnology, pharmaceutical and ...
Cincinnati, OH ยท On-site
$85K - $114K/yr
Contract and budget negotiation experience; * 3+ years of management or oversight experience ... We provide Phase I-IV clinical development services to the biotechnology, pharmaceutical and ...
Mason, OH ยท Hybrid
$111K - $166K/yr
Acts as the primary contract resource for internal teams; provides contract education to support ... network participation inquiries. Minimum Requirements: Requires a Bachelor's degree in Business ...
Mason, OH ยท Hybrid
$111K - $166K/yr
Acts as the primary contract resource for internal teams; provides contract education to support ... network participation inquiries. Minimum Requirements: Requires a Bachelor's degree in Business ...
Dayton, OH ยท On-site
$60K - $132K/yr
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Dayton, OH ยท On-site
$60K - $132K/yr
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Manages contract performance in support of network quality, availability, and financial goals and ... Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
| Aspect | Provider Network Contract Manager | Provider Contract Specialist |
|---|---|---|
| Credentials | Typically requires a bachelor's degree in healthcare administration, business, or related field; certifications like CPC or CPMSM are common | Similar credentials, often with healthcare or business background; certifications may include CPC or related |
| Work Environment | Works within healthcare organizations or insurance companies, managing network contracts and negotiations | Works in healthcare or insurance settings, focusing on contract review, processing, and compliance |
| Employer & Industry Usage | Used by health plans, provider networks, and insurance companies to manage provider agreements | Commonly employed in healthcare organizations and insurance firms for contract administration |
The Provider Network Contract Manager oversees the negotiation and management of provider agreements, focusing on network development. The Provider Contract Specialist handles contract processing and compliance. While both roles require similar credentials and work in related environments, the manager has a broader strategic focus, whereas the specialist concentrates on contract details and administration.

Full-time
Medical, Retirement
Re-posted 25 days ago
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
This person will be a primary contact for providers. They will schedule, organize and facilitate collaborative JOC meetings as needed. They will perform provider orientations for individual providers and large provider groups. They will also provide ongoing education for these providers. They will travel to provider's offices, so they must have a driver's license.
**Everything in bold was added by the hiring manager**ย
Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate. Perform training, orientation and coaching for performance improvement within the network and assist with claim resolution.
ย Serve as primary contact for providers and act as a liaison between theย home and community based servicesย providers and the health plan
ย Conduct monthly face-to-face meetings with the provider account representatives documenting discussions, issues, attendees, action items, andย research claims issues on-site, where possible, and route to the appropriate party for resolute
ย Schedule, organize and facilitate collaborative JOC meetings as needed.
ย Receive and effectively respond to external provider related issues
ย Provide education on health plan's innovative contracting strategies
ย Initiate data entry of provider-related demographic information changes and oversee testing and completion of change requests for the network
ย Investigate, resolve and communicate provider claim issues and changes
ย Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation,ย MMP updatesย and related topics
ย Perform provider orientationsย for individuals, large diverse provider groupsย and ongoing provider education for same, including writing and updating orientation materialsย which you will present.
ย Ability to travel
Requirements:
Hours for this Position:
M-F 8-5
Advantages of this Opportunity:
Interested in being considered?
If you are interested in being considered for the position, please contact Ashley Greene at 407-478-0332 ext 169.
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003