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Our client, a leader in the healthcare industry, is seeking a Healthcare Provider Contract Specialist to join their team. As a Healthcare Provider Contract Specialist, you will be part of the contracting department supporting various healthcare provider networks. The ideal candidate will have strong analytical skills, excellent communication abilities, and a proactive approach to problem-solving, which will align successfully with the organization.
Job Title : Healthcare Provider Contract Specialist
Location : Montana
What's the Job?
Develop and maintain standard and non-standard contract arrangements and reimbursement rates for assigned healthcare providers.
Monitor the adequacy and financial performance of all assigned contracts.
Maintain active communication with assigned providers and address any issues or questions raised by provider offices.
Implement reimbursement strategies designed to control healthcare costs while ensuring providers are reimbursed appropriately.
Prepare and present financial performance reports on assigned contracts to leadership.
What's Needed?
4 years of provider relations, contracting, or related experience.
Bachelor’s Degree or equivalent work experience.
Strong background in provider contracting and familiarity with ancillary services and physician groups.
Hands-on experience with c ontract negotiation and reimbursement models.
Project management skills for integrated networks and strategic plans.