Contract specialist jobs

Dec 09, 2022

Senior Network Contract Manager - Telecommute in Denver, CO

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) In support of Optums mission, vision, and strategic goals, this position is responsible for building and maintaining a high-quality, high-performing specialty contract network. Reporting to the Vice President of Contracting and Payer Strategy, the Specialty Network Contract Manager creates, evaluates, and maintains Optum Cares provider network (specialist physicians, pharmacies, ancillary, facilities, primary care...

UnitedHealth Group Remote * (San Jose, CA, USA)

Dec 09, 2022

Credentialing Specialist- Telework

Processes credentialing and re-credentialing applications for the client. Reviews applications and prepares verification letters. Contacts various departments, licensing agencies, and insurance carriers to complete credentialing and re-credentialing applications. Provides support to the client in the collection and query of credentials of members of the client. Job Responsibilities * Conducts Primary Source Verification (PSV) of credentials such as licenses, certifications, registrations, professional school education, postgraduate, residency, or specialty training, board certifications, work history, and current references. * Conducts queries through the National Practitioner Data Bank (NPDB), the Defense Practitioner Data Bank (DPDB), the Department of Health and Human Services (DHHS) and TRICARE sanction data banks. * Collects professional/peer references and completed clinical privileges, demographics, military and civilian practice history (including adverse...

Dunhill Professional Search Remote * (Tuscaloosa, AL, USA)

Dec 09, 2022

National Account Manager 340B - Core Sales Specialist - (Remote)

At UnitedHealthcare, we re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) The Optum 340B National Account Manager - Core Sales Specialist will be responsible for 340B territory sales growth, both through contracting new business and current client contract expansion within a given geographical market. They will be growing the territory also through implementing strategic initiatives as assigned by leadership that fit the needs of the business that are contracting adjacent but important drivers of territory growth. This position will engage with and target DSH hospital systems and other similar HRSA designated entities to drive sales in the specialty pharmacy,...

UnitedHealth Group Remote * (San Francisco, CA, USA)

Dec 09, 2022

Director Integration and Interoperability - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) The Director of Integration and Interoperability position supports the PacificWest regions Interoperability efforts and will serve as a leader on Interoperability standards development, facilitate the development of Enterprise points-of-view and positions on HIE, Interoperability standards, and lead the cross-functional group focused on influencing industry standards-setting organizations. Youll enjoy the flexibility to work...

UnitedHealth Group Remote * (San Jose, CA, USA)

Dec 09, 2022

Director Integration and Interoperability - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) The Director of Integration and Interoperability position supports the PacificWest regions Interoperability efforts and will serve as a leader on Interoperability standards development, facilitate the development of Enterprise points-of-view and positions on HIE, Interoperability standards, and lead the cross-functional group focused on influencing industry standards-setting organizations. Youll enjoy the flexibility to work...

UnitedHealth Group Remote * (San Diego, CA, USA)

Dec 09, 2022

Director Integration and Interoperability - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) The Director of Integration and Interoperability position supports the PacificWest regions Interoperability efforts and will serve as a leader on Interoperability standards development, facilitate the development of Enterprise points-of-view and positions on HIE, Interoperability standards, and lead the cross-functional group focused on influencing industry standards-setting organizations. Youll enjoy the flexibility to work...

UnitedHealth Group Remote * (San Francisco, CA, USA)

Dec 09, 2022

Director Integration and Interoperability - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) The Director of Integration and Interoperability position supports the PacificWest regions Interoperability efforts and will serve as a leader on Interoperability standards development, facilitate the development of Enterprise points-of-view and positions on HIE, Interoperability standards, and lead the cross-functional group focused on influencing industry standards-setting organizations. Youll enjoy the flexibility to work...

UnitedHealth Group Remote * (Chicago, IL, USA)

Dec 09, 2022

Remote ServiceNow Developer

HI, Kindly let me know if you have a suitable fit for the following position Thanks Remote ServiceNow Developer III Duration: 6 month contract extensions Only w2 or 1099 Please send the resume to or 847- ###-#### Key technologies: Strong Development skills in ServiceNow (JavaScript, Service Now scripting, Portal development, etc.) Catalog, ServiceNow ITSM, ITOM (CMDB, Discovery, SAM), 3rd Party Integrations, Performance Analytics Nice to haves: ITOM - HAM, Cloud, Kubernetes, Service Mapping, CSDM, Event Management etc. Responsibilities: If you are a multidimensional ServiceNow Lead / Developer with broad experience in the IT Operations Management space, come help us grow our ServiceNow ITOM area. Be part of the design, architecture, development, and implementation of new applications on the ServiceNow platform. We are looking for prior experience implementing and deploying the core suite of ITOM applications. You are a ServiceNow professional leading other developers, working with...

IVY TECH Remote * (Nashville, TN, USA)

Dec 09, 2022

Credentialing Specialist - REMOTE

Credentialing Specialist A large medical office in Ann Arbor is seeking a Credentialing Specialist for remote work. The right candidate can work in a very fast-paced environment and is flexible to changing needs. What youll be doing as a Credentialing Specialist Assisting the Credentialing and Compliance Manager to enforce regulatory compliance and quality assurance to ensure that all information meets federal and state guidelines. Provider Enrollment and Change Self-Services Maintain compliance with all regulatory and accrediting institutions What youll need to succeed as a Credentialing Specialist Minimum 2 years experience of credentialing in a healthcare environment Associates or bachelors degree preferred Additional information for the Credentialing Specialist $22.00 hourly Monday-Friday, 8:00am-5:00pm Fully remote once trained Ann Arbor, 48105 Quick Apply Here For more information on this position, call/text us at 734-###-#### or email us at . About Express Employment...

Express Employement Professionals Remote * (Ann Arbor, MI, USA)

Cedars-Sinai Medical Center (Los Angeles)

Dec 09, 2022

Research Grant Specialist II (Hybrid/Remote Option) - Inflammatory Bowel and Immunobiology Research Institute

Join us as a Research Grant Specialist II (RGS II) as we examine the interactions between metabolism, immunity, and infection! At Cedars-Sinai our academic culture and environment creates an extraordinary opportunity for cross-disciplinary thinking and research while enjoying a larger sense of autonomy, with the freedom to choose when, and with whom, you collaborate. Our research is largely collaborative and team-work oriented, helping to unleash your potential and enjoying intellectual freedom with the ability to make an individual impact and receive recognition for your work. We are setting the benchmark for how medicine can be more effectively delivered by supporting our distinguished staff, specialists, and scientists, to advance discovery, be a mentor to the next generation, and set new standards of care. Highly qualified candidates, residing in Arizona, Nevada, Oregon, Texas, Colorado, Minnesota, Florida, and Georgia, may be considered for remote work. The...

Cedars-Sinai Medical Center (Los Angeles) Remote * (Los Angeles, CA, USA)

Dec 09, 2022

Accessibility Consultant - Part Time and Remote

Company Overview TestPros is a successful and growing business, established in 1988 to provide Information Technology (IT) technical support services to a wide range of Commercial and U.S. Federal, State, and Local Government customers. Our capabilities include Program Management, Program Oversight, Process Audit, Intelligence Analysis, Cyber Security, NIST SP 800-171 Assessment and Compliance, Computer Forensics, Software Assurance, Software Testing, Test Automation, Section 508 and WCAG Accessibility Assessment, Localization Testing, Independent Verification and Validation (IV&V), Quality Assurance (QA), Compliance, and Research and Development (R&D) services. TestPros is an Equal Opportunity Employer. TestPros delivers innovative independent IT assessment solutions to critical challenges facing the nation and the world. We support the U.S. Federal Government and Commercial clients within the continental USA. TestPros is dedicated to making lives better, safer and...

TestPros Remote * (Sterling, VA, USA)

Dec 09, 2022

Retention Specialist - Remote

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) You get it. Everyone gets it. The health care system needs to evolve even further than it has, and it must do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here's where you come in. As member of our Network Growth and Advocacy team, you'll help develop and support Provider Networks and guide unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a...

UnitedHealth Group San Jose, CA, USA

Dec 09, 2022

Contracting Specialist - Remote

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) The Contracting Specialist is accountable for supporting contracting and fee negotiations with providers and facilities. Additional responsibilities data management, include building and nurturing relationships between the health plan, providers, facilities, and practice managers. In this role, you would implement strategic goals relating to network management. You’ll enjoy the flexibility to work remotely * from...

UnitedHealth Group San Jose, CA, USA

CR

Dec 09, 2022

Accounts Receivable Specialist | REMOTE

Accounts Receivable Specialist Summary: CRG is launching a search for a 100% REMOTE Accounts Receivable Specialist for our high growth client who is based in South Charlotte and boasts of a globally recognized manufacturing brand. This individual will review and monitor various levels of customer accounts in order to mitigate cash flow issues, maximize cash flow, minimize bad debt / reserve write offs, and even train / coach new employees on standard procedures. CRG is willing to offer a $200 referral bonus for any individual you help us place in this role! Opportunity: 4+ month contract, potential to be extended Location: 100% REMOTE (initial training on site in Charlotte, NC) Rate: $22/hr-$23/hr Responsibilities: Monitors customer payment portals, dispute information, and department reporting for payment information / missed invoices Initiates customer contact to collect and resolve past due balances while making decisions and / or recommendations to...

CRG Charlotte, NC, USA

CC

Dec 09, 2022

Remote HCC Coder

Are you an experienced coder looking for your next career move and not just the next contract position? Do you want to fast-track your career by working for one of the most innovative and reputable healthcare companies in the world? Do you enjoy working from home and the having the opportunity to make overtime pay occasionally? Then please keep reading! The CSI Companies is hiring a Remote Sr. Risk Adjustment Coding Consultant for our Fortune 100 healthcare client. This job can be worked from anywhere in the US as long as you have high speed internet and a distraction-free home office area. As one of the most respected and innovative healthcare companies in the world, you will receive state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest. Title of Job: Sr. Risk...

CSI Companies Indianapolis, IN, USA

Dec 09, 2022

Retention Specialist - Remote

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) You get it. Everyone gets it. The health care system needs to evolve even further than it has, and it must do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here's where you come in. As member of our Network Growth and Advocacy team, you'll help develop and support Provider Networks and guide unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a...

UnitedHealth Group San Diego, CA, USA

Dec 09, 2022

Contracting Specialist - Remote

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) The Contracting Specialist is accountable for supporting contracting and fee negotiations with providers and facilities. Additional responsibilities data management, include building and nurturing relationships between the health plan, providers, facilities, and practice managers. In this role, you would implement strategic goals relating to network management. You’ll enjoy the flexibility to work remotely * from...

UnitedHealth Group Boston, MA, USA

Ax

Dec 09, 2022

Customer Success Manager (REMOTE)

SUMMARY The Customer Operations Manager – Support Services is responsible for the day-to-day management of PCNA’s core service functions including call center, service email, chat and call monitoring functions (both domestic and off shore). This role also has key ownership of managing our PCNA offshore service support division including quality, pricing, resource management as well as management of quality and operational SLAs. This position is highly focused driving a consistent PCNA service experience with a goal of keeping PCNA established as a service leader within the promotional products industry. FUNDAMENTAL DUTIES – PCNA Service Areas Supports PCNA culture and mission to be an employer of choice and is responsible for maintaining consistent service performance and quality with assigned work group. Manages a domestic department consisting of supervisor level leaders and a front line team of approx. 75 to 200 FTEs. Manages associated offshore processes to make sure...

Advantage xPO New Kensington, PA, USA

Dec 09, 2022

Contracting Specialist - Remote

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) The Contracting Specialist is accountable for supporting contracting and fee negotiations with providers and facilities. Additional responsibilities data management, include building and nurturing relationships between the health plan, providers, facilities, and practice managers. In this role, you would implement strategic goals relating to network management. You’ll enjoy the flexibility to work remotely * from...

UnitedHealth Group Orlando, FL, USA

Dec 09, 2022

Contracting Specialist - Remote

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) The Contracting Specialist is accountable for supporting contracting and fee negotiations with providers and facilities. Additional responsibilities data management, include building and nurturing relationships between the health plan, providers, facilities, and practice managers. In this role, you would implement strategic goals relating to network management. You’ll enjoy the flexibility to work remotely * from...

UnitedHealth Group Las Vegas, NV, USA

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143 contract specialist jobs found