Provider Network Specialist

Full Time
Remote
Posted
Job description

Seeking Provider Network Specialists for a 1 year contract role. Preferred candidates will be located in the following states - Texas, Oklahoma, Georgia, Florida and Michigan.

Recruits and negotiates physician and/or provider contracts in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals. Develop, contract, maintain and enhance relationships with facilities, physicians and ancillary providers which serve as contractual networks of care for members; foster growth of managed care products; and enhance profitability.

Job requirements: **Must have a minimum of 3 years healthcare provider contracting experience**

∙ Proven working knowledge of standard provider contracts, terms and language
∙ In-depth knowledge of the managed care industry and practices
∙ Accountable for all aspects of physician recruitment and contracting as well as ad/hoc network contracting, as assigned
∙ Responsible for negotiating or re-negotiating individual provider, group, multi-specialty practices, behavioral health (practitioners and facilities),hospitals-and hospital based physician contracts to satisfy specific network goals and objectives
∙ Proficient in Excel and Word
∙ Ability to use internet Search Engines

Education: Bachelor's degree desired or equivalent work experience will be considered

Hours: Regular Business Hours for the Time Zone assigned.

Job Types: Full-time, Contract

Pay: $45.00 - $50.00 per hour

Schedule:

  • Day shift

Education:

  • Bachelor's (Preferred)

Experience:

  • healthcare contracting: 3 years (Required)
  • Managed care: 3 years (Required)

Work Location: Remote

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