Provider Contract Specialist - Remote

Freddie Mac; Marshfield (WI); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company in the healthcare industry is seeking a dedicated individual for a remote position focused on contract negotiation and provider management. This role offers opportunities for career advancement and a collaborative work environment. The ideal candidate will have experience in healthcare insurance and strong analytical skills to ensure compliance and effective negotiations.

Benefits

Flexible schedule

Career advancement opportunities

Supportive work environment

Qualifications

• Minimum educational requirement: High School Diploma; Bachelor's preferred.
• Prior experience in healthcare insurance or network management.

Responsibilities

• Maintain pricing arrangements with provider groups.
• Create standard contracts for providers.
• Engage in provider recruitment activities.

Skills

Negotiation

Communication

Analysis

Education

High School Diploma

Bachelor's degree in finance, business, healthcare administration, or communications

Tools

MS Office

Job description

Employer Industry: Healthcare

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely with a flexible schedule
- Supportive and collaborative work environment
- Integral role in building and maintaining high-value healthcare networks
- Commitment to enriching the lives of others through compassionate healthcare

What to Expect (Job Responsibilities):
- Maintain and coordinate the process of establishing pricing arrangements with provider groups and facilities
- Create standard contracts for providers within the Health Plan service area
- Engage in provider recruitment activities to build compliant networks
- Analyze and negotiate financial impacts of contract terms and reimbursement rates
- Ensure compliance with federal programs related to employment

What is Required (Qualifications):
- Minimum educational requirement: High School Diploma or equivalent; Bachelor's degree preferred in finance, business, healthcare administration, or communications
- Prior experience working with healthcare insurance or insurance network management
- Proficiency in analyzing, communicating, and negotiating contract terms and reimbursement rates
- Proficiency in MS Office applications
- Ability to travel occasionally, including overnights for meetings or conferences

How to Stand Out (Preferred Qualifications):
- Experience with behavioral healthcare reimbursement
- Strong work experience in lieu of formal education in preferred fields

#Healthcare #RemoteWork #CareerOpportunity #ContractNegotiation #EqualOpportunityEmployer

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