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Insight Global
Seattle
Job Description We are looking for a Provider Contracts Specialist to join our team and manage the contracting process for our Medicaid plan. You will be responsible for negotiating, issuing, and managing behavioral health contracts with providers, ensuring compliance, quality, and timeliness. As a Provider Contracts Specialist, you will need to ha
Job Source: Insight GlobalJustice, Bureau of Prisons/Federal Prison System
Seatac
Summary Corrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities. Our highly-skilled, diverse, and innovative workforce creates a strong foundation of safety and security. Through the principles of humanity and normalcy, we develop good neighbo
Job Source: Justice, Bureau of Prisons/Federal Prison SystemAccenture
Seattle
Career Level: CL9 Role: Sales & Delivery - Contract Management Talent Segment: Legal and Commercial Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—cre
Job Source: AccentureThe Boeing Company
Seattle
**Job Description** At Boeing, we innovate and collaborate to make the world a better place. From the seabed to outer space, you can contribute to work that matters with a company where diversity, equity and inclusion are shared values. We’re committed to fostering an environment for every teammate that’s welcoming, respectful and inclusive, with g
Job Source: The Boeing CompanyMolina Healthcare
Seattle
Remote and must live in Washington **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and i
Job Source: Molina HealthcareMolina Healthcare
Seattle
Remote and must live in Washington **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and i
Job Source: Molina HealthcareDental Health Services
Seattle, WA, United States
Job Description Job Description You will contribute to the strength of our team approach to collaborative dental health. Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized healthcare company? If you enjoy working with a team of caring and dedicat
Job Source: Dental Health ServicesBrookdale Senior Living
Gig Harbor
Overview Sales Specialist Brookdale Senior Living Tacoma, WA Region Join our dynamic Sales Team in Tacoma and the surrounding region! Local, daily travel required to assigned Brookdale communities. Bring your senior living and healthcare sales experience and work with an amazing District Director of Sales to grow your career with an industry leader
Job Source: Brookdale Senior LivingSeattle
Remote and must live in Washington
**JOB DESCRIPTION**
**Job Summary**
Molina National Level Contracting jobs are responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
**KNOWLEDGE/SKILLS/ABILITIES**
Negotiates assigned contracts and letters of agreements with hospitals, physician groups and ancillary providers that result in high quality, cost effective and marketable providers. Maintains tracking system and publish reports according to departmental procedures.
+ Initiates, negotiates, generates, and tracks provider Letters of Agreement, contracts and amendments from initial draft to full execution utilizing approved standardized contract templates/amendments.
+ Supports network development throughout state to including researching, recruiting, and negotiating with providers.
+ Participates in the evaluation of provider network and implementation of strategic plans to meet Molina's network adequacy standards.
+ Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital, and ancillary providers.
+ Assists in analysis and coordination of amendments, reimbursement, and language changes. Requests information of billing codes, services provided and other information needed to complete the contract profile.
+ Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes.
+ Travels regularly throughout designated regions to meet targeted needs.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field.
**Required Experience**
3 - 5 years provider contract negotiation experience in the health care field including, but not limited to, provider's office, managed care organization, or other health care field.
**Preferred Education**
Bachelor's Degree
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
\#PJCorp
Pay Range: $17.85 - $38.69 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Email Alert for Provider Contracts Specialist_ jobs in Seattle
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