Remote Otter LogoRemoteOtter

Provider Contracting Professional 2 - Remote

Posted 2 days ago
Sales / Business
Full Time
USA
$65,000 - $88,600/year

Overview

The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements, contributing to a caring community focused on health.

In Short

  • Initiates and negotiates contracts with providers.
  • Analyzes financial impacts of contracts.
  • Communicates contract terms and reimbursement rates.
  • Maintains contracts within a tracking system.
  • Assists in identifying and recruiting providers.
  • Requires minimal direction and makes independent decisions.
  • Follows established guidelines and procedures.
  • 2+ years of experience in managed care contracts.
  • Excellent written and verbal communication skills required.
  • Remote position with preference for candidates in Florida.

Requirements

  • 2+ years of experience servicing or negotiating managed care contracts.
  • Proficiency in analyzing and communicating contract terms.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Proficiency in MS Office applications.
  • Bachelor's Degree preferred.
  • Experience with medical claims is a plus.
  • Experience with ACO/Risk Contracting preferred.
  • Experience with Value Based Contracting preferred.
  • Located in the State of Florida preferred.

Benefits

  • Competitive medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Paid time off, including holidays and volunteer time.
  • Short-term and long-term disability coverage.
  • Life insurance and other opportunities.

Go365

Go365

004 Humana Insurance Company is dedicated to putting health first for its teammates, customers, and the communities it serves. As a leading provider of insurance and healthcare services, Humana focuses on improving the quality of life for millions of individuals, including those with Medicare and Medicaid, families, and military personnel. The company emphasizes a holistic approach to well-being, offering a range of benefits designed to support personal wellness and smart healthcare decisions. Humana is committed to fostering an inclusive workplace and actively promotes equal opportunity for all employees.

Share This Job!

Save This Job!

Similar Jobs:

MDLive

Provider Contracting Lead Analyst - Remote

MDLive

8 weeks ago

Join Cigna as a Provider Contracting Lead Analyst to manage provider relationships and contracting processes in the NYC and NJ market.

NY, USA
Full-time
Sales / Business
69,800 - 116,400 USD/year

D.C

Professional Coder - Remote

Duluth Clinic

23 weeks ago

The Professional Coder role involves evaluating health records for accurate coding to optimize reimbursement and ensure compliance with regulatory guidelines.

USA
Full-time
All others
$20.59 - $30.67/hour

Humana

Provider Engagement Professional 2 - Remote

Humana

8 weeks ago

Join a dedicated team as a Provider Engagement Professional 2, fostering relationships with healthcare providers to enhance financial and quality performance.

FL, USA
Full-time
Sales / Business
$59,300 - $80,900/year

M.T.A

Provider Contracting Specialist - Remote

Molina Talent Acquisition

33 weeks ago

The Provider Contracting Specialist manages provider information and contracts to ensure compliance and efficiency in network management.

USA
Full-time
Finance / Legal

C.

Provider Audit Professional 1 - Remote

CDO 1

28 weeks ago

The Provider Audit Professional 1 analyzes claims and identifies discrepancies to ensure compliance and accuracy in healthcare delivery.

FL, USA
Full-time
Finance / Legal
$53,700 - $72,600/year