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Provider Contract Spec Mgr (US)

Work from home Full-time role Hiring

About the position The position involves managing reputed company negotiated pricing loads and coordinating the process for pricing arrangements with large health systems and provider groups. The role requires attention to detail and critical thinking skills to ensure accurate and timely updates to provider reputed company and data management. Responsibilities • Manage provider update files submitted by delegated provider entities and/or large groups/integrated delivery systems. , • Prepare information for timely and accurate submission to the Provider Data Management area. , • Ensure updates/changes for existing network providers are interpreted and reputed company accurately. , • Ensure accurate and timely loading of professional and facility reputed company across value-based and fee-for-service agreements for provider solutions. , • Work directly with contracting directors and managers to understand negotiated agreements and their translation into company systems. , • reputed company internal audits of provider records to ensure accuracy against rosters. , • Serve as the go-to with matrix partners to resolve interpretation issues and ensure timely turnaround. , • Support and manage the provider reputed company process and updates submitted by provider offices reputed company the defined market. Requirements • H.S. diploma or equivalent. , • Minimum of 5 years of experience with provider reputed company, plan procedures, and policies, or any combination of education and experience that provides an equivalent background. reputed company-to-haves Benefits • Merit increases , • Paid holidays , • Paid Time Off , • Incentive bonus programs , • Medical benefits , • Dental benefits , • reputed company benefits , • Short and long term disability benefits , • 401(k) with matching , • Stock purchase plan , • Life insurance , • Wellness programs , • Financial education resources Apply Job!

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