Provider Contracting Professional

Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Sun, Nov 24, 2024
This job expires in: 21 days

Job Summary

A company is looking for a Provider Contracting Professional to negotiate and execute provider contracts related to Medicaid health plans.

Key Responsibilities
  • Communicates contract terms, payment structures, and reimbursement rates to providers
  • Analyzes financial impact of contracts and maintains documentation within a tracking system
  • Assists with identifying and recruiting providers based on network needs

Required Qualifications
  • 2+ years of experience in negotiating managed care contracts
  • Prior experience with Medicaid contracts
  • Experience with LTSS/HCBS programs and contracts
  • Proficiency in analyzing financial impacts of contract terms
  • Bachelor's degree preferred

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