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Provider Contracting Professional

65 000 - 88 600$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Provider Contracting Professional (Managed Care Contracting): Initiating, negotiating, and executing physician, hospital, and other provider contracts with an accent on reimbursement rates, payment structures, and financial impact analysis. Focus on communicating contract terms, maintaining documentation, and independently managing varied contracting decisions across provider networks.

Location: Remote, anywhere in the United States. Occasional travel to hirify.global offices for training or meetings may be required.

Salary: $65,000–$88,600 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare company providing insurance and healthcare services to millions of people, including Medicare and Medicaid members, families, individuals, and communities.

What you will do

  • Initiate, negotiate, and execute physician, hospital, and other provider contracts.
  • Communicate contract terms, payment structures, and reimbursement rates to providers.
  • Analyze the financial impact of contract terms and reimbursement arrangements.
  • Maintain contracts and related documentation in a tracking system.
  • Assist with identifying and recruiting providers based on network composition and needs.
  • Apply department and organizational strategies while making independent decisions with minimal direction.

Requirements

  • 2+ years of experience servicing or negotiating managed care contracts.
  • Proficiency in analyzing and communicating the financial impact of contract terms, payment structures, and reimbursement rates.
  • Excellent written and verbal communication skills.
  • Proficiency with Microsoft Office applications.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Ability to work remotely from within the United States.

Nice to have

  • Bachelor's degree.
  • Experience with behavioral health contracting.
  • Experience working with Medicaid contracts.

Culture & Benefits

  • Full-time schedule of 40 hours per week.
  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Paid time off, company and personal holidays, and paid parental and caregiver leave.
  • Short- and long-term disability coverage, life insurance, and other wellness benefits.
  • Dedicated workspace and home internet with at least 25 Mbps download and 10 Mbps upload required to work effectively and protect PHI/HIPAA information.

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