Provider Contract Specialist

Job Summary

A company is looking for a Provider Contract Specialist - Remote.

Key Responsibilities

• Maintain and coordinate pricing arrangements for provider groups and facilities within Health Plan networks
• Create standard contracts for providers across the Health Plan service area
• Participate in provider recruitment activities to build and maintain compliant networks

Required Qualifications

• Bachelor's degree or equivalent experience in finance, business, health care administration, or communications preferred
• Prior experience in health care insurance or insurance network management
• Experience with analyzing and negotiating contract terms and reimbursement rates
• Proficiency in contract reading, redlining, and MS Office applications
• Willingness to travel occasionally for meetings and conferences