Provider Contracting Professional

A company is looking for a Provider Contracting Professional who will initiate, negotiate, and execute contracts related to Medicaid health plans. Key Responsibilities Communicates contract terms, payment structures, and reimbursement rates to providers Analyzes financial impact of contracts and maintains documentation within a tracking system Assists with identifying and recruiting providers based on network composition and needs Required Qualifications Must be available to work in the eastern standard time zone hours 2+ years of experience in negotiating managed care contracts Prior experience working with Medicaid contracts Experience with LTSS/HCBS programs and contracts Proficiency in analyzing financial impacts of contract terms and payment structures

Mar 27, 2025 - 23:57

A company is looking for a Provider Contracting Professional who will initiate, negotiate, and execute contracts related to Medicaid health plans. Key Responsibilities Communicates contract terms, payment structures, and reimbursement rates to providers Analyzes financial impact of contracts and maintains documentation within a tracking system Assists with identifying and recruiting providers based on network composition and needs Required Qualifications Must be available to work in the eastern standard time zone hours 2+ years of experience in negotiating managed care contracts Prior experience working with Medicaid contracts Experience with LTSS/HCBS programs and contracts Proficiency in analyzing financial impacts of contract terms and payment structures