Provider Contracting Professional
New
J
JobgetherHealthcare
United StatesFull-TimeMiddle
SalaryAnnual base salary of $65,000–$88,600
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Job Details
- Experience
- 2+ years
- Required Skills
- Microsoft OfficeFinancial analysis
Requirements
- 2+ years of experience servicing, managing, or negotiating managed care contracts.
- Demonstrated ability to analyze, understand, and communicate the financial implications of contract terms, payment structures, and reimbursement rates to providers.
- Excellent written and verbal communication skills, with the ability to explain complex contractual and financial information clearly.
- Proficiency with Microsoft Office applications and standard business productivity tools.
- Strong organizational skills and the ability to manage multiple priorities effectively in a fast-paced environment.
- Ability to work independently, interpret established guidelines, and exercise sound judgment in varied or occasionally ambiguous situations.
- Bachelor’s degree is preferred.
- Experience with behavioral health contracting is a plus.
- Experience working with Medicaid contracts is preferred.
- Dedicated workspace with minimal interruptions to protect sensitive information.
- Home internet with at least 25 Mbps download and 10 Mbps upload speeds.
- Willingness to occasionally travel to company offices for training or meetings may be required.
Responsibilities
- Initiate, negotiate, and execute contracts with physicians, hospitals, and other healthcare providers.
- Communicate contract terms, payment structures, reimbursement rates, and related financial considerations clearly to providers.
- Analyze the financial impact of proposed contract terms, payment methodologies, and reimbursement arrangements.
- Maintain accurate provider contracts, records, and supporting documentation within designated tracking systems.
- Evaluate network composition and business needs and, when appropriate, assist with identifying and recruiting additional providers.
- Collaborate with internal stakeholders and provider partners to support effective contract execution and ongoing network objectives.
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