Contracts Negotiator Specialist - Health Plan
| Verified Pay check_circle | Provided by the employer$35 - $45 per hour |
|---|---|
| Hours | Full-time, Part-time |
| Location | Orange, California |
About this job
Job Description
Johnson Service Group (JSG) is seeking a Contracts Specialist for a Healthcare Plan organization in Orange County, CA.
Onsite I 6 Month Contract
Pay $35.00- $45 per hour, DOE
Preferred Qualifications:
- Experience negotiating single-patient agreements, professional and ancillary contracts.
- Experience with elementary data analysis.
Minimum Qualifications:
- Associate degree PLUS 2 years of work experience related to managed care or related field required, or an equivalent combination of education and experience sufficient to successfully perform the essential duties.
Duties and Responsibilities:
Contract Support
Evaluates out-of-network requests from medical management, assesses in-network providers for redirection, and attends daily staff meetings to discuss outcomes.
Negotiates single-patient agreements for members directed out of network and serves as a point of contact for provider inquiries.
Assists Contracts Managers with contract creation, distribution, and collection of outstanding contract documents.
Maintains electronic library of provider contacts and contracts on shared drive and contract management system/database.
Responds to inquiries regarding contract status, network rosters provider reimbursement and application/credentialing status in a timely manner.
Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.
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