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Contracts administrator entry level jobs - 19 jobs

  • Healthcare Administrator

    Russell Tobin 4.1company rating

    Mason, OH

    Russell Tobin's client is hiring a UM Support Analyst in Mason, OH Job Title: UM Support Analyst Schedule: Full-time, 40 hours/week | 8:30 AM - 5:30 PM (flexible) Duration: ASAP start through March 31, 2026 w/ pos of ext Pay Rate: Up to $21/hour Position Overview We are seeking a UM Support Analyst to provide administrative and data entry support for Utilization Management (UM) prior authorization requests. This is a temporary backfill role supporting an upcoming go-live initiative. Key Responsibilities Perform administrative and data entry tasks related to UM prior authorization requests Work within systems such as Facets, Filebound, and Jira Make outbound notification calls to providers and members Ensure accuracy and timeliness of documentation and communications Support operational readiness for multi-state program expansion Required Qualifications Previous data entry experience Familiarity with Microsoft Excel and Microsoft Office tools Ability to work onsite full-time Preferred Qualifications Strong critical thinking and problem-solving skills High attention to detail Ability to multitask in a fast-paced environment Prior UM or prior authorization experience (healthcare-related experience a plus) Benefits that Russell Tobin offers: Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.
    $21 hourly 1d ago
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  • Provider Contracts Manager

    Molina Healthcare 4.4company rating

    Columbus, OH

    supports and oversees Molina dental providers.** Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets and recruits additional providers to reduce member access grievances. + Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards. + Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney. + Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal customers on provider contracts. + Participates on the management team and other committees addressing the strategic goals of the department and organization. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience. **Required Experience** 5-7 years **Preferred Education** Graduate 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. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 49d ago
  • Contracts Coordinator Administrator III

    Global Channel Management

    Cincinnati, OH

    Global Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Our account managers and recruiters have over a decade of experience in various verticals. GCM understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function. Organizations need to reduce training and labor costs but at same requiring the best "talent " for the job. Qualifications Ability to manage complex, global calendars for multiple 2. Knowledge of P&G systems for travel (Egencia/Travel Coordination) and Expense Online tooling. 3. Knowledge of P&G move systems 4. Fluency in Skin and Personal Care R&D Additional Information $25/hr 12 months
    $25 hourly 2d ago
  • Purchasing Administrator

    Partssource 4.4company rating

    Hudson, OH

    The Purchasing Administrator performs purchasing activities on behalf of customers and other internal stakeholders. Places, confirms, and obtains tracking information on all orders for the company based on assignment. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned to meet business needs. Create all purchase orders Confirmation of shipment with suppliers Obtain tracking information on all orders Follow-up on and track progress of all backorders Requirements QUALIFICATION/REQUIREMENTS: Strong computer skills Knowledge of Microsoft applications: Outlook, Word and Excel Strong multitasking ability Clear speaking voice/ good presence on the phone Detail oriented, clearly able to relay information toothers EDUCATION/TRAINING/EXPERIENCE: High school diploma or GED Computer knowledge Previous office experience (preferred) Salary Description $17.00 pr hour
    $17 hourly 60d+ ago
  • Siebel administrator @ Hilliard, OH

    Xperttech 3.8company rating

    Hilliard, OH

    Job title: Siebel Admin Duration: 7 Months Siebel Admin Responsibilities: • Experience on Siebel Server administration activities, Siebel version 8.0, 8.1, 8.2 • Strong understanding of Siebel Enterprise Architecture and server components • Strong understanding of SDLC processes and methodologies • Provide expertise in application server installation, upgrades, patches, tuning, performance monitoring, troubleshooting, application deployments, support and documentation of standards, environments and procedures for Siebel and OBIEE application suites • Participate in and/or lead infrastructure build activities as appropriate. • OBIEE 11g Installation, Administration and Management • Siebel Email Marketing Installation, Administration and Management • Ability to support Multi lingual environment • Administration of data such as List of Values, Responsibilities, Views, System Preferences etc. • Migrate code between environments DEV, TEST, Pre Prod and Production using EIM, ADM and Excel Macro • In depth knowledge of windows operating systems • Experience working on F5 Load Balancer and Windows Clustering • Ability to handle releases and activities in a timely, organized manner • Experience on database related tools like Microsoft SQL Server Siebel Maintenance Responsibilities: • Hands of Experience in Siebel configuration (Browser Script, Business Components - New & Modifications , Business Services, Custom Table creation, Screens, Views & Applets - New & Modifications, Siebel Base Table extensions) • Experience scripting (Browser and Server) and Siebel workflows • Experience in campaign management and Email Marketing. • Knowledge on OBIEE (Siebel Analytics) • Knowledge on Smart scripts and stored procedures • Good knowledge on Siebel EAI • Exposure on open UI. Skills Required: • Siebel and OBIEE Server Installation in windows, F5 Load Balancer and Windows Clustering, SSO setup, deployments and knowledge on upgrades, Siebel Email Marketing Installation. Must have: • Siebel EAI, Configuration, and Scripting Good to have: • .Net, C#. Siebel Workflows, OBIEE, Smart Scripts, Open UI and SQL Server. Additional Information
    $72k-110k yearly est. 60d+ ago
  • Custodial Contract Manager

    Goodwill Easterseals Miami Valley 3.6company rating

    Dayton, OH

    SummaryTo develop the contract and facilitate operations. Manage project in a cost-effective manner by establishing and applying sound management policies pertaining to the organization. Essential Duties & Responsibilities Manage written correspondence with Contract representatives concerning performance of contract. Implement/administer contract modifications. Primary point of contact with customers and tenants for customer service for contracts managed. Responsible for management of the custodial staff. Operate to efficiently utilize all personnel and assigned resources. Responsible for equipment and supplies (proper usage, maintenance, storage, replacement).\ Determine the work to be done and how it is done. Responsible for scheduling and assigning work. Train and develop employees to reach their full potential and maintain a stable workforce. Meet required direct labor ratio for people with disabilities by training and developing them to meet their full vocational potential. Train all employees in basic disability awareness and issues. Responsible for evaluating quality and quantity of work performed, to include all reports, time studies, budget reports, work plans, etc. Responsible for training employees within the job scope. Responsible for maintaining discipline and ensuring that policies and procedures are properly followed. Responsible for the safety and well-being of clients and employees. Maintain a safe and orderly work environment. Responsible for periodic review and implementation of crisis procedures. Responsible for performance of safety drills and keeping Operation within OSHA and CARF standards. Responsible for filing all reports (payroll, etc.) accurately and timely as required. Responsible for the equal opportunity employment efforts and results, and must take action to prevent harassment of employees. Train employees in safety standards: new employee first day orientation and ongoing hazard communication Comply with all Agency policies, procedures and safety standards throughout work areas and maintain same to meet CARF, Department of Labor and other regulatory standards. Supervisory Responsibilities Directly supervise direct labor employees, lead workers, job coaches, and training coordinators at the assigned project site(s). Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Education RequirementsHigh school diploma or general education degree (GED) required. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must maintain a valid Ohio driver's license and driving record acceptable to Goodwill's liability insurance provider. Must have reliable transportation to and from the work site. Must maintain the ability to pass a criminal background check and random drug screens. Goodwill Easterseals Miami Valley is a federal government contractor subject to Executive Order 14042, which may require employees serving in this role or at your work location to be fully-vaccinated against Covid-19. Any and all job offers for this role may be contingent upon providing proof of full vaccination against Covid-19. Skills & Abilities Ability to supervise. Ability to read and interpret documents such as safety rules, general business instructions, operating and maintenance instructions and procedure manuals. Ability to speak effectively with staff, program participants, and the general public. Uncompromising ethics and integrity Ability to stand, walk, squat, bend, twist, crawl, kneel, drive, climb, and reach above shoulders. Ability to maintain continuous walking, standing, bending or stooping for extended periods of time. Ability to communicate effectively in both oral and written form. Sight required to visually check for cleanliness. Ability to work with hazardous cleaning solutions. Work in an environment with dust. Ability to hear and respond to internal paging system and warning devices on custodial equipment. Must be able to follow through with projects and assignments in a timely and efficient manner. This person must have a warm and friendly personality, be sensitive to the needs of others, and be able to relate well to the individual they serve and be willing to fulfill responsibilities in accordance with our philosophy. Ability to deal with daily operational challenges in a fast paced environment. Must possess excellent customer service, organizational, writing, and reading skills. Must possess excellent interpersonal skills with the ability to relate well with a broad spectrum of people; including consumers, employers and employees. Must be self-motivated. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; and talk or hear. The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl; and taste or smell. The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee occasionally works in outside weather conditions and is occasionally exposed to risk of electrical shock. The noise level in the work environment is usually moderate.
    $35k-42k yearly est. 37d ago
  • Contracts Coordinator Administrator III

    Global Channel Management

    Cincinnati, OH

    Global Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Our account managers and recruiters have over a decade of experience in various verticals. GCM understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function. Organizations need to reduce training and labor costs but at same requiring the best "talent " for the job. Qualifications Ability to manage complex, global calendars for multiple 2. Knowledge of P&G systems for travel (Egencia/Travel Coordination) and Expense Online tooling. 3. Knowledge of P&G move systems 4. Fluency in Skin and Personal Care R&D Additional Information $25/hr 12 months
    $25 hourly 60d+ ago
  • Provider Contracts Manager

    Molina Healthcare Inc. 4.4company rating

    Columbus, OH

    supports and oversees Molina dental providers. Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. KNOWLEDGE/SKILLS/ABILITIES * In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. * Develops and maintains provider contracts in APTTUS contract management software. * Targets and recruits additional providers to reduce member access grievances. * Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. * Maintains contractual relationships with significant/highly visible providers. * Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts. * Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards. * Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney. * Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal. * Educates internal customers on provider contracts. * Participates on the management team and other committees addressing the strategic goals of the department and organization. JOB QUALIFICATIONS Required Education Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience. Required Experience 5-7 years Preferred Education Graduate 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. Pay Range: $80,168 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $80.2k-155.5k yearly 50d ago
  • Compliance Admin

    Global Channel Management

    Mason, OH

    Global Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Our account managers and recruiters have over a decade of experience in various verticals. GCM understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function. Organizations need to reduce training and labor costs but at same requiring the best "talent " for the job. Qualifications Compliance Administrative Assistant with 2-4 years back office tax /accounting processes. Compliance Administrative Assistant requires: Working relationship with government tax officials Proficiency with Microsoft Office and spreadsheet applications SAP and Essbase experience preferred Compliance Administrative Assistant duties are: Proactively perform self-audits of resale certificates to ensure compliance Maintain proper internal controls to ensure compliance with Sarbanes Oxley Administrative order/maintain office supply inventory, sort and distribute mail Assist in special projects as requested by management Additional Information $17/HR 6 months
    $17 hourly 60d+ ago
  • Provider Contracts Manager

    Molina Healthcare 4.4company rating

    Cleveland, OH

    supports and oversees Molina dental providers.** Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets and recruits additional providers to reduce member access grievances. + Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards. + Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney. + Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal customers on provider contracts. + Participates on the management team and other committees addressing the strategic goals of the department and organization. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience. **Required Experience** 5-7 years **Preferred Education** Graduate 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. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 49d ago
  • Provider Contracts Manager

    Molina Healthcare Inc. 4.4company rating

    Cleveland, OH

    supports and oversees Molina dental providers. Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. KNOWLEDGE/SKILLS/ABILITIES * In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. * Develops and maintains provider contracts in APTTUS contract management software. * Targets and recruits additional providers to reduce member access grievances. * Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. * Maintains contractual relationships with significant/highly visible providers. * Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts. * Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards. * Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney. * Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal. * Educates internal customers on provider contracts. * Participates on the management team and other committees addressing the strategic goals of the department and organization. JOB QUALIFICATIONS Required Education Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience. Required Experience 5-7 years Preferred Education Graduate 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. Pay Range: $80,168 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $80.2k-155.5k yearly 50d ago
  • Provider Contracts Manager

    Molina Healthcare 4.4company rating

    Cincinnati, OH

    supports and oversees Molina dental providers.** Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets and recruits additional providers to reduce member access grievances. + Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards. + Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney. + Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal customers on provider contracts. + Participates on the management team and other committees addressing the strategic goals of the department and organization. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience. **Required Experience** 5-7 years **Preferred Education** Graduate 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. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 49d ago
  • Provider Contracts Manager

    Molina Healthcare Inc. 4.4company rating

    Cincinnati, OH

    supports and oversees Molina dental providers. Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. KNOWLEDGE/SKILLS/ABILITIES * In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. * Develops and maintains provider contracts in APTTUS contract management software. * Targets and recruits additional providers to reduce member access grievances. * Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. * Maintains contractual relationships with significant/highly visible providers. * Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts. * Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards. * Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney. * Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal. * Educates internal customers on provider contracts. * Participates on the management team and other committees addressing the strategic goals of the department and organization. JOB QUALIFICATIONS Required Education Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience. Required Experience 5-7 years Preferred Education Graduate 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. Pay Range: $80,168 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $80.2k-155.5k yearly 50d ago
  • Provider Contracts Manager

    Molina Healthcare Inc. 4.4company rating

    Dayton, OH

    supports and oversees Molina dental providers. Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. KNOWLEDGE/SKILLS/ABILITIES * In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. * Develops and maintains provider contracts in APTTUS contract management software. * Targets and recruits additional providers to reduce member access grievances. * Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. * Maintains contractual relationships with significant/highly visible providers. * Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts. * Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards. * Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney. * Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal. * Educates internal customers on provider contracts. * Participates on the management team and other committees addressing the strategic goals of the department and organization. JOB QUALIFICATIONS Required Education Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience. Required Experience 5-7 years Preferred Education Graduate 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. Pay Range: $80,168 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $80.2k-155.5k yearly 50d ago
  • Provider Contracts Manager

    Molina Healthcare 4.4company rating

    Dayton, OH

    supports and oversees Molina dental providers.** Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets and recruits additional providers to reduce member access grievances. + Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards. + Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney. + Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal customers on provider contracts. + Participates on the management team and other committees addressing the strategic goals of the department and organization. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience. **Required Experience** 5-7 years **Preferred Education** Graduate 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. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 49d ago
  • Provider Contracts Manager

    Molina Healthcare Inc. 4.4company rating

    Akron, OH

    supports and oversees Molina dental providers. Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. KNOWLEDGE/SKILLS/ABILITIES * In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. * Develops and maintains provider contracts in APTTUS contract management software. * Targets and recruits additional providers to reduce member access grievances. * Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. * Maintains contractual relationships with significant/highly visible providers. * Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts. * Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards. * Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney. * Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal. * Educates internal customers on provider contracts. * Participates on the management team and other committees addressing the strategic goals of the department and organization. JOB QUALIFICATIONS Required Education Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience. Required Experience 5-7 years Preferred Education Graduate 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. Pay Range: $80,168 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $80.2k-155.5k yearly 50d ago
  • Provider Contracts Manager

    Molina Healthcare 4.4company rating

    Akron, OH

    supports and oversees Molina dental providers.** Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets and recruits additional providers to reduce member access grievances. + Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards. + Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney. + Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal customers on provider contracts. + Participates on the management team and other committees addressing the strategic goals of the department and organization. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience. **Required Experience** 5-7 years **Preferred Education** Graduate 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. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 49d ago
  • Provider Contracts Manager

    Molina Healthcare 4.4company rating

    Ohio

    supports and oversees Molina dental providers.** Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets and recruits additional providers to reduce member access grievances. + Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards. + Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney. + Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal customers on provider contracts. + Participates on the management team and other committees addressing the strategic goals of the department and organization. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience. **Required Experience** 5-7 years **Preferred Education** Graduate 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. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 49d ago
  • Provider Contracts Manager

    Molina Healthcare Inc. 4.4company rating

    Ohio

    supports and oversees Molina dental providers. Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. KNOWLEDGE/SKILLS/ABILITIES * In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. * Develops and maintains provider contracts in APTTUS contract management software. * Targets and recruits additional providers to reduce member access grievances. * Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. * Maintains contractual relationships with significant/highly visible providers. * Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts. * Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards. * Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney. * Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal. * Educates internal customers on provider contracts. * Participates on the management team and other committees addressing the strategic goals of the department and organization. JOB QUALIFICATIONS Required Education Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience. Required Experience 5-7 years Preferred Education Graduate 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. Pay Range: $80,168 - $155,508 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $80.2k-155.5k yearly 50d ago

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