Contract Specialist
The Judge Group Inc.

Job Info

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Location: Columbus, OH
Description: Judge Healthcare is currently seeking a Contract Specialist to join our client's amazing team in the Columbus, OH area!

This job will have the following responsibilities:

• 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 assigned state to including researching, recruiting and negotiating with providers.
• Participates in the evaluation of provider network and implementation of strategic plans to meet 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.
  

Qualifications & Requirements:

• 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.
  
• 0-2 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.
  
• Knowledge in Excel, Word, Outlook, and PowerPoint programs.
• Ability to interact well with all internal and external customers'.
• Ability to work and make decisions independently.
• Excellent organizational and verbal and written communication skills.
• Ability to maintain attendance to support required quality and quantity of work.
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers

If you or someone you know is interested in this position, please send a current resume to Parker at pdornbier@judge.com for immediate consideration!

Contact: pdornbier@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com

This job has expired.