Provider Contract Specialist I

AltaStaff is a staffing agency currently looking for a Provider Contract Specialist for one of our Managed Care partners!

This is a full-time position that is fully remote, but candidates must reside in Texas

Pay: $24.00 - $26.00 hourly

Schedule: Monday - Friday, 8am - 5pm CST

Position Purpose: This position is responsible for negotiating assigned contracts and letters of agreements with hospitals, physician groups and ancillary providers that result in high quality, cost effective and marketable providers. They will also maintain the tracking system and publish reports according to departmental procedures.

Job Responsibilities:

• Initiates, negotiates, generates, and tracks provider Letters of Agreement, contracts, and amendments from initial draft to full execution utilizing approved standardized contract templates/amendments.

• Supports network development throughout state to including researching, recruiting, and negotiating with providers.

• Participates in the evaluation of provider network and implementation of strategic plans to meet Molina’s network adequacy standards.

• Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital, and ancillary providers.

• Assists in analysis and coordination of amendments, reimbursement, and language changes.

• Requests information of billing codes, services provided, and other information needed to complete the contract profile.

• Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes.

Job Qualifications:

• Bachelor’s Degree required

• 2 years of Provider Contract Negotiation experience in the healthcare field

• 3 years of experience in provider’s offices, managed care, or healthcare

• Must have knowledge in Excel, Word, Outlook, and PowerPoint programs

• Strong attention to detail and highly organized

If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA

AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.

INDLP

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