Provider Contract Specialist - Remote

Talentify.io; United States; Remote; USD 60,000 - 85,000; Full time

Job summary

A leading company in the healthcare services sector is seeking a dedicated professional to manage provider contracts and pricing arrangements. This remote position offers flexibility and a chance to grow within a mission-driven organization focused on accessible healthcare. Ideal candidates will have a strong background in healthcare insurance and excellent negotiation skills. Join a supportive environment where your contributions matter.

Benefits

Career advancement opportunities

Flexible workspace

Competitive salary

Collaborative work environment

Qualifications

• Minimum educational requirement: High School Diploma; Bachelor's preferred.
• Prior experience in healthcare insurance or network management required.
• Proficiency in contract reading and redlining.

Responsibilities

• Maintain and coordinate pricing arrangements with provider groups.
• Create standard contracts for providers within the Health Plan.
• Engage in provider recruitment activities.

Skills

Negotiating

Communication

Analysis

Education

High School Diploma

Bachelor's degree in finance

Bachelor's degree in business

Bachelor's degree in healthcare administration

Bachelor's degree in communications

Tools

MS Office

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely with the flexibility to manage your own workspace
- Competitive salary and benefits package
- Supportive and collaborative work environment
- Chance to contribute to a mission-driven organization focused on accessible 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 and maintain compliant networks
- Analyze and negotiate financial impacts of contract terms and reimbursement rates
- Ensure compliance with federal program participation regulations

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 in healthcare insurance or network management, including reimbursement methodologies
- Proficiency in contract reading and redlining
- Strong skills in analyzing, communicating, and negotiating contract terms
- Ability to travel occasionally for meetings and conferences

How to Stand Out (Preferred Qualifications):
- Experience with behavioral healthcare reimbursement
- Proficiency in MS Office applications
- Strong work experience in lieu of a formal degree

#HealthcareServices #RemoteWork #ProviderContracts #CareerGrowth #EqualOpportunityEmployer

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.