Provider Network Contracting Specialist - Remote

Overview

The Provider Network Contracting Specialist is responsible for network strategy and development, ensuring compliance with regulations and maintaining provider information.

In Short

• Responsible for network strategy and development.
• Maintains critical provider information on claims and databases.
• Negotiates contracts with non-complex providers.
• Tracks and publishes reports according to departmental procedures.
• Supports network development through research and recruitment.
• Communicates contract terms and payment structures clearly.
• Coordinates preparation and routing of documents for contracting.
• Trains and monitors newly hired Contract Specialists.
• Participates in special projects related to contracting.
• Travels regularly to meet targeted needs.

Requirements

• Bachelor’s Degree or equivalent work experience in healthcare.
• 4-6 years of experience in contracting with provider groups.
• 1-3 years of managed care experience.
• Knowledge of integrated delivery systems and contracts is desirable.
• Certified Recovery Peer Specialist certification preferred in Florida.

Benefits

• Competitive benefits and compensation package.
• Equal Opportunity Employer (EOE) M/F/D/V.