Strategic Provider Network & Contracting Lead

FRONTPATH HEALTH COALITION; Perrysburg (OH); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Competitive salary

Dental insurance

Health insurance

Paid time off

Vision insurance

Job summary

A healthcare provider organization in Perrysburg, Ohio, is seeking a Provider Relations and Contracting Specialist to enhance provider networks and ensure excellent service. This full-time role involves leading provider contracting processes, maintaining accurate databases, and fostering relationships with various stakeholders. Candidates should have at least a Bachelor’s degree and 3+ years of relevant experience. Benefits include health insurance and paid time off.

Qualifications

• Minimum Bachelor’s degree from an accredited college or university or equivalent relevant work experience.
• 3+ years related work experience, primarily in provider contracting or claims oversight.
• Demonstrated knowledge of local provider and purchaser markets.

Responsibilities

• Lead the provider contracting process with new and current providers.
• Oversee and document recredentialing cycles for providers.
• Maintain accurate provider database for management and claims repricing.
• Assist customer service specialists and follow up with providers.
• Manage the implementation process for new providers.

Skills

Provider contracting

Claims oversight

Relationship building

Communication skills

Analytical skills

Teamwork

Time management

Problem-solving

Education

Bachelor’s degree or equivalent work experience

Tools

Word

Excel

Access

Power Point

Outlook

Job description

A healthcare provider organization in Perrysburg, Ohio, is seeking a Provider Relations and Contracting Specialist to enhance provider networks and ensure excellent service. This full-time role involves leading provider contracting processes, maintaining accurate databases, and fostering relationships with various stakeholders. Candidates should have at least a Bachelor’s degree and 3+ years of relevant experience. Benefits include health insurance and paid time off.