Healthcare Contracting Specialist
$60K - $63K/yr
WebMD, Health Plan websites, hospitals, google, etc. • Provider networks contracting for initial ... are, provider office or HMO/PPO background preferred. • Strong knowledge of regulatory ...
$60K - $63K/yr
WebMD, Health Plan websites, hospitals, google, etc. • Provider networks contracting for initial ... are, provider office or HMO/PPO background preferred. • Strong knowledge of regulatory ...
$60K - $63K/yr
WebMD, Health Plan websites, hospitals, google, etc. • Provider networks contracting for initial ... are, provider office or HMO/PPO background preferred. • Strong knowledge of regulatory ...
Sarasota, FL · On-site
$60K - $63K/yr
WebMD, Health Plan websites, hospitals, google, etc. Provider networks contracting for initial ... Minimum three (3) years' experience in Medicaid/Medicare is preferred. Healthcare, provider office ...
Sarasota, FL · On-site
$60K - $63K/yr
WebMD, Health Plan websites, hospitals, google, etc. Provider networks contracting for initial ... Minimum three (3) years' experience in Medicaid/Medicare is preferred. Healthcare, provider office ...
Sarasota, FL · On-site +1
$60K - $63K/yr
WebMD, Health Plan websites, hospitals, google, etc. • Provider networks contracting for initial ... are, provider office or HMO/PPO background preferred. • Strong knowledge of regulatory ...
Sarasota, FL · On-site +1
$60K - $63K/yr
WebMD, Health Plan websites, hospitals, google, etc. • Provider networks contracting for initial ... are, provider office or HMO/PPO background preferred. • Strong knowledge of regulatory ...
Manhattan, NY · On-site +1
We are seeking a Senior Director of Healthcare Contracting to lead and scale our end-to-end contracting function across client, provider, channel partner, and vendor agreements. This role will be ...
Manhattan, NY · On-site +1
We are seeking a Senior Director of Healthcare Contracting to lead and scale our end-to-end contracting function across client, provider, channel partner, and vendor agreements. This role will be ...
Fishersville, VA · On-site
$122 - $206/hr
Description Overview At Augusta Health, your work matters -- and so do you. Whether you're ... Competitive pay with shift/weekend differentials * Employee discounts at the cafeteria, gift shop ...
Fishersville, VA · On-site
$122 - $206/hr
Description Overview At Augusta Health, your work matters -- and so do you. Whether you're ... Competitive pay with shift/weekend differentials * Employee discounts at the cafeteria, gift shop ...
Overview At Augusta Health, your work matters - and so do you. Whether you're delivering direct ... Competitive pay with shift/weekend differentials * Employee discounts at the cafeteria, gift shop ...
Overview At Augusta Health, your work matters - and so do you. Whether you're delivering direct ... Competitive pay with shift/weekend differentials * Employee discounts at the cafeteria, gift shop ...
This role oversees value-based contracting across the organization, including negotiating with ... Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United ...
This role oversees value-based contracting across the organization, including negotiating with ... Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United ...
Fishersville, VA · On-site
$58.83 - $99.07/hr
Overview At Augusta Health, your work matters -- and so do you. Whether you're delivering direct ... Competitive pay with shift/weekend differentials * Employee discounts at the cafeteria, gift shop ...
Fishersville, VA · On-site
$58.83 - $99.07/hr
Overview At Augusta Health, your work matters -- and so do you. Whether you're delivering direct ... Competitive pay with shift/weekend differentials * Employee discounts at the cafeteria, gift shop ...
Raleigh, NC · On-site
$95 - $130/hr
Directs contracting strategy for hospitals, Healthplexes, hospital outpatient departments, Home Health and Rehab divisions. Develops payment models for facility managed care contracts. Oversees ...
Raleigh, NC · On-site
$95 - $130/hr
Directs contracting strategy for hospitals, Healthplexes, hospital outpatient departments, Home Health and Rehab divisions. Develops payment models for facility managed care contracts. Oversees ...
The Johns Hopkins Health System Corporation is a not-for-profit organization dedicated to providing ... Affordable and comprehensive benefits package The Managed Care Contracting Manager manages the ...
The Johns Hopkins Health System Corporation is a not-for-profit organization dedicated to providing ... Affordable and comprehensive benefits package The Managed Care Contracting Manager manages the ...
Fishersville, VA · On-site
$69K - $84K/yr
Overview At Augusta Health, your work matters - and so do you. Whether you're delivering direct ... Competitive pay with shift/weekend differentials * Employee discounts at the cafeteria, gift shop ...
Fishersville, VA · On-site
$69K - $84K/yr
Overview At Augusta Health, your work matters - and so do you. Whether you're delivering direct ... Competitive pay with shift/weekend differentials * Employee discounts at the cafeteria, gift shop ...
Midland, MI · On-site
$59K - $71K/yr
Summary The Managed Care Contracting Analyst is responsible for financial modeling and economic ... Bachelors degree in healthcare administration, business, finance, or a related field required;
Midland, MI · On-site
$59K - $71K/yr
Summary The Managed Care Contracting Analyst is responsible for financial modeling and economic ... Bachelors degree in healthcare administration, business, finance, or a related field required;
$80K - $120K/yr
Manager, Managed Care Contracting Salary: 80k to 120k Organization: Strategic Health Care Managed Care Solutions Position Title: Managed Care Executive Reports To: Partner, Managed Care Division ...
New
Quick apply
$80K - $120K/yr
Manager, Managed Care Contracting Salary: 80k to 120k Organization: Strategic Health Care Managed Care Solutions Position Title: Managed Care Executive Reports To: Partner, Managed Care Division ...
New
South Burlington, VT · On-site
$93.82 - $112.58/hr
Shift: Day Primary Shift: - Weekend Needs: None Salary Range: Min $75.05 Mid $93.82 Max $112.58 ... Unlike a traditional healthcare attorney focused solely on legal review, this position functions as ...
South Burlington, VT · On-site
$93.82 - $112.58/hr
Shift: Day Primary Shift: - Weekend Needs: None Salary Range: Min $75.05 Mid $93.82 Max $112.58 ... Unlike a traditional healthcare attorney focused solely on legal review, this position functions as ...
Valencia, CA · On-site
$130K - $220K/yr
Greater Los Angeles, California (onsite) Our client, a respected healthcare organization in the Greater Los Angeles region, is seeking an experienced Director of Managed Care Contracting to lead ...
New
Quick apply
Valencia, CA · On-site
$130K - $220K/yr
Greater Los Angeles, California (onsite) Our client, a respected healthcare organization in the Greater Los Angeles region, is seeking an experienced Director of Managed Care Contracting to lead ...
New
Women's imaging and breast health services * Emergency and trauma care * Cardiac rehabilitation and ... Job Summary The Director of Managed Care Contracting provides strategic leadership for the hospital ...
Women's imaging and breast health services * Emergency and trauma care * Cardiac rehabilitation and ... Job Summary The Director of Managed Care Contracting provides strategic leadership for the hospital ...
South Burlington, VT · On-site
$75.05 - $112.58/hr
The Payer Contracting, Policy & Regulatory Counsel serves as the lead legal, regulatory, and ... Unlike a traditional healthcare attorney focused solely on legal review, this position functions as ...
South Burlington, VT · On-site
$75.05 - $112.58/hr
The Payer Contracting, Policy & Regulatory Counsel serves as the lead legal, regulatory, and ... Unlike a traditional healthcare attorney focused solely on legal review, this position functions as ...
Fremont, CA · On-site
$120 - $160/hr
Washington Hospital Healthcare System Job Title: Director, Managed Care Contracting Job Code: 714 Reports To: Vice President & Chief Revenue Officer Position Summary: The Director, Managed Care ...
Fremont, CA · On-site
$120 - $160/hr
Washington Hospital Healthcare System Job Title: Director, Managed Care Contracting Job Code: 714 Reports To: Vice President & Chief Revenue Officer Position Summary: The Director, Managed Care ...
Charlotte, NC · On-site
Medicare & Healthcare Regulatory Compliance/Contracting * Provide legal advice regarding Medicare Part D, health insurance and other federal healthcare program requirements. * Counsel business teams ...
Charlotte, NC · On-site
Medicare & Healthcare Regulatory Compliance/Contracting * Provide legal advice regarding Medicare Part D, health insurance and other federal healthcare program requirements. * Counsel business teams ...
As the Manager, Payor Strategies, you will play a key role in shaping Main Line Health ... Minimum of five (5) years of experience in payer contracting, provider contracting, managed care ...
As the Manager, Payor Strategies, you will play a key role in shaping Main Line Health ... Minimum of five (5) years of experience in payer contracting, provider contracting, managed care ...
$17.55 - $23.21
12% of jobs
$26.22 is the 25th percentile. Wages below this are outliers.
$23.21 - $28.87
24% of jobs
The median wage is $31.33 / hr.
$28.87 - $34.53
32% of jobs
$38 is the 75th percentile. Wages above this are outliers.
$34.53 - $40.19
11% of jobs
$40.19 - $45.85
1% of jobs
$45.85 - $51.51
0% of jobs
$51.51 - $57.17
0% of jobs
$57.17 - $62.83
0% of jobs
$62.83 - $68.49
0% of jobs
$68.49 - $74.15
8% of jobs
$74.15 - $79.81
11% of jobs
$17
$41
$79

$60K - $63K/yr
Other
Posted 6 days ago
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
Sourced by ZipRecruiter
Health care and social assistance
1 - 10 Employees
Doral, FL, US
1998