Contract Specialist
Senior contract specialist job at HCSC
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job SummaryThis Position Is Responsible For Drafting Account-Specific Documents. Training Less Experienced Staff On Production Procedures; And Participating In The Peer Review Process.
JOB REQUIREMENTS:
Bachelor degree or 4 years work experience in a position involving independent judgment and initiative.
Experience and skills in drafting standard or customized group health contracts or booklet documents with minimal guidance of up to 10 paragraphs.
Knowledge of insurance contracts such as health, life, disability, supplemental health and/or self-funded
Knowledge of insurance products such as health, dental, life, disability and/or supplemental
Knowledge of group health state and federal regulations on contract administration.
PC experience including Microsoft Office.
Experience in deadline driven environment and completing tasks on time.
Judgment and problem resolution skills.
Verbal and written communication skills to interface with staff from other departments, draft document language and handle issue resolution.
PREFERRED JOB REQUIREMENTS:
Referral preference given to applicants able to take and meet testing criteria.
Experience working on corporate projects. Skills in project management/project planning.
This position is expected to adhere to HCSC's hybrid FLEX policy of 3 days/week on-site at an approved location.
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting **************************************
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range$40,900.00 - $91,000.00
Exact compensation may vary based on skills, experience, and location.
Auto-ApplySenior Workday - HCM Specialist
Norman, OK jobs
#HireNRHS
Compensation / Benefits
$44.57-$72.79 hr based on previous work experience.
Benefits include medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid holidays, tuition reimbursement, scholarship opportunities, retirement plans, free parking, and opportunities for advancement
We are seeking a skilled Senior Workday HCM Specialist to join our HR team. This role will serve as a subject matter expert for Workday Human Capital Management (HCM) and related modules, supporting system configuration, business processes, data integrity, and end-user adoption. The ideal candidate has a strong background in HR Workday technology, understands HR business processes, and can translate organizational needs into scalable Workday solutions.
Responsibilities:
Act as a Workday HCM subject matter expert, supporting core HCM and related modules (e.g., Compensation, Recruiting, Absence, Talent, Payroll, Benefits).
Configure, maintain, and optimize Workday business processes, security, reports, and dashboards.
Partner with HR, Payroll, Finance, and IT stakeholders to gather requirements, recommend solutions, and implement system enhancements.
Manage system releases, regression testing, and impact analysis of Workday updates.
Troubleshoot system issues, resolve data discrepancies, and ensure overall data integrity.
Develop and maintain documentation for configurations, processes, and end-user training.
Create advanced Workday reports and dashboards to support business decisions and compliance.
Provide ongoing support and training to HR teams and end-users.
Collaborate with vendors, consultants, and internal teams on system projects and integrations.
Stay current with Workday best practices, new features, and industry trends.
Ability to manage multiple priorities in a fast-paced, dynamic environment.
Qualifications:
Education
Bachelor's degree in Human Resources, Information Systems, Business Administration, or related field (or equivalent experience).
Strong understanding of HR business processes and compliance requirements.
Proficiency in creating custom reports (calculated fields, advanced reports, dashboards). Knowledge of Workday security administration and integration fundamentals a plus.
Strong problem-solving, analytical, and troubleshooting skills.
Excellent communication skills with the ability to translate technical concepts for non-technical stakeholders.
Experience
3-5+ years of hands-on Workday HCM configuration and support experience.
Experience in multiple Workday modules such as Core HCM, Compensation, Recruiting, Talent, Absence, or Benefits preferred.
Licensure/Certification
Workday certification(s) in HCM or related modules
Other Knowledge/Skills/Abilities
Experience with Workday Studio, Prism Analytics, or BIRT reporting.
Exposure to system integrations between Workday and third-party applications.
Project management or HR systems implementation experience.
HB Revenue Cycle Business Specialist II/ Patient Account Services / Full-Time
Santa Fe, NM jobs
All potential candidates should read through the following details of this job with care before making an application.
Responsible for performing billing, collections and reimbursement services of claims and duties of the hospital business office. In doing so, ensures that all claims billed and collected meet all government-mandated procedures for Integrity and Compliance.
Requirements
EDUCATION: HS Diploma or equivalency required
CERTIFICATION/LICENSES: None required
SKILLS:
Must have good verbal and written communication skills in order to present and explain information to internal and external customers
Ability to write letters using proper English, grammar, spelling, vocabulary, and punctuation
Must have practical experience with Adobe, Word, Excel and Microsoft Outlook applications. Also, any other computer applications related to the work (document imaging systems, Organizational Share Point, Revenue Cycle systems)
Must have ability to make independent decisions that are generally guided by established procedures.
Must have a desire to learn ethical and compliant business practices.
Must be able to handle sensitive, stressful and confidential situations and account information.
Must have excellent keyboarding and 10-key skill-set.
Must have knowledge to perform functions requiring the use of the Internet.
Willingness and ability to learn new task.
Understanding of alternative Business Office financial resources
Ability to provide information and/or recommendations related to sources of recovery
Knowledge of general hospital A/R accounts
GENERAL/ORGANIZATIONAL COMPETENCIES:
Quality/Compliance: Achieves a standard of excellence with work processes and outcomes, honoring Organizational policies and all regulatory requirements.
Customer focus: Strives for high customer satisfaction, going out of our way to be helpful and pleasant, making it as easy as possible on the patient, family member or customer rather than our department or organization.
Safety Mindset: Promptly reports or corrects any unsafe condition. Records/reports the need for service maintenance or repair of equipment and removes any faulty equipment from service.
Communication: Balances listening and talking, speaking and writing clearly and accurately, influencing others, keeping others informed.
Collegiality: Is helpful, respectful, approachable and team oriented, building strong working relationships and a positive work environment.
Initiative: Takes ownership of the work, doing what is needed without being asked, following through
Efficiency: Plans, manages time well, is on time, is cost conscious, and thinks of better ways to do things.
Coach-ability: Is receptive to feedback, demonstrates a willingness to learn, and embraces continuous improvement.
Demonstrates an ability to work in a collaborative manner.
Diversity: Acknowledges and respects cultural diversity in all interactions.
EXPERIENCE: Two years of experience preferred in any of the following: Medicare, Medicaid and/or Commercial Insurance billing, collections, payment and reimbursement verification and/or refunds. College education in business and/or accounting may substitute for experience on a year for year basis up to two years.
NATURE OF SUPERVISION:
Responsible to: Manager, Business Office
ENVIRONMENT:
-Bloodborne pathogen: A
Works in a clean, well-lighted smoke free environment.
PHYSICAL REQUIREMENTS: Long periods of sitting, walking. Must be flexible in work schedule. Subject to stressful situations. Extended use of video display terminal and keyboard utilizing sound ergonomic principles. xevrcyc May be required to push, pull or lift up to 20 pounds.
HB Revenue Cycle Business Specialist II/ Patient Account Services / Full-Time
Albuquerque, NM jobs
All potential candidates should read through the following details of this job with care before making an application.
Responsible for performing billing, collections and reimbursement services of claims and duties of the hospital business office. In doing so, ensures that all claims billed and collected meet all government-mandated procedures for Integrity and Compliance.
Requirements
EDUCATION: HS Diploma or equivalency required
CERTIFICATION/LICENSES: None required
SKILLS:
Must have good verbal and written communication skills in order to present and explain information to internal and external customers
Ability to write letters using proper English, grammar, spelling, vocabulary, and punctuation
Must have practical experience with Adobe, Word, Excel and Microsoft Outlook applications. Also, any other computer applications related to the work (document imaging systems, Organizational Share Point, Revenue Cycle systems)
Must have ability to make independent decisions that are generally guided by established procedures.
Must have a desire to learn ethical and compliant business practices.
Must be able to handle sensitive, stressful and confidential situations and account information.
Must have excellent keyboarding and 10-key skill-set.
Must have knowledge to perform functions requiring the use of the Internet.
Willingness and ability to learn new task.
Understanding of alternative Business Office financial resources
Ability to provide information and/or recommendations related to sources of recovery
Knowledge of general hospital A/R accounts
GENERAL/ORGANIZATIONAL COMPETENCIES:
Quality/Compliance: Achieves a standard of excellence with work processes and outcomes, honoring Organizational policies and all regulatory requirements.
Customer focus: Strives for high customer satisfaction, going out of our way to be helpful and pleasant, making it as easy as possible on the patient, family member or customer rather than our department or organization.
Safety Mindset: Promptly reports or corrects any unsafe condition. Records/reports the need for service maintenance or repair of equipment and removes any faulty equipment from service.
Communication: Balances listening and talking, speaking and writing clearly and accurately, influencing others, keeping others informed.
Collegiality: Is helpful, respectful, approachable and team oriented, building strong working relationships and a positive work environment.
Initiative: Takes ownership of the work, doing what is needed without being asked, following through
Efficiency: Plans, manages time well, is on time, is cost conscious, and thinks of better ways to do things.
Coach-ability: Is receptive to feedback, demonstrates a willingness to learn, and embraces continuous improvement.
Demonstrates an ability to work in a collaborative manner.
Diversity: Acknowledges and respects cultural diversity in all interactions.
EXPERIENCE: Two years of experience preferred in any of the following: Medicare, Medicaid and/or Commercial Insurance billing, collections, payment and reimbursement verification and/or refunds. College education in business and/or accounting may substitute for experience on a year for year basis up to two years.
NATURE OF SUPERVISION:
Responsible to: Manager, Business Office
ENVIRONMENT:
-Bloodborne pathogen: A
Works in a clean, well-lighted smoke free environment.
PHYSICAL REQUIREMENTS: Long periods of sitting, walking. Must be flexible in work schedule. Subject to stressful situations. Extended use of video display terminal and keyboard utilizing sound ergonomic principles. xevrcyc May be required to push, pull or lift up to 20 pounds.
HB Revenue Cycle Business Specialist II/ Patient Account Services / Full-Time
Los Alamos, NM jobs
All potential candidates should read through the following details of this job with care before making an application.
Responsible for performing billing, collections and reimbursement services of claims and duties of the hospital business office. In doing so, ensures that all claims billed and collected meet all government-mandated procedures for Integrity and Compliance.
Requirements
EDUCATION: HS Diploma or equivalency required
CERTIFICATION/LICENSES: None required
SKILLS:
Must have good verbal and written communication skills in order to present and explain information to internal and external customers
Ability to write letters using proper English, grammar, spelling, vocabulary, and punctuation
Must have practical experience with Adobe, Word, Excel and Microsoft Outlook applications. Also, any other computer applications related to the work (document imaging systems, Organizational Share Point, Revenue Cycle systems)
Must have ability to make independent decisions that are generally guided by established procedures.
Must have a desire to learn ethical and compliant business practices.
Must be able to handle sensitive, stressful and confidential situations and account information.
Must have excellent keyboarding and 10-key skill-set.
Must have knowledge to perform functions requiring the use of the Internet.
Willingness and ability to learn new task.
Understanding of alternative Business Office financial resources
Ability to provide information and/or recommendations related to sources of recovery
Knowledge of general hospital A/R accounts
GENERAL/ORGANIZATIONAL COMPETENCIES:
Quality/Compliance: Achieves a standard of excellence with work processes and outcomes, honoring Organizational policies and all regulatory requirements.
Customer focus: Strives for high customer satisfaction, going out of our way to be helpful and pleasant, making it as easy as possible on the patient, family member or customer rather than our department or organization.
Safety Mindset: Promptly reports or corrects any unsafe condition. Records/reports the need for service maintenance or repair of equipment and removes any faulty equipment from service.
Communication: Balances listening and talking, speaking and writing clearly and accurately, influencing others, keeping others informed.
Collegiality: Is helpful, respectful, approachable and team oriented, building strong working relationships and a positive work environment.
Initiative: Takes ownership of the work, doing what is needed without being asked, following through
Efficiency: Plans, manages time well, is on time, is cost conscious, and thinks of better ways to do things.
Coach-ability: Is receptive to feedback, demonstrates a willingness to learn, and embraces continuous improvement.
Demonstrates an ability to work in a collaborative manner.
Diversity: Acknowledges and respects cultural diversity in all interactions.
EXPERIENCE: Two years of experience preferred in any of the following: Medicare, Medicaid and/or Commercial Insurance billing, collections, payment and reimbursement verification and/or refunds. College education in business and/or accounting may substitute for experience on a year for year basis up to two years.
NATURE OF SUPERVISION:
Responsible to: Manager, Business Office
ENVIRONMENT:
-Bloodborne pathogen: A
Works in a clean, well-lighted smoke free environment.
PHYSICAL REQUIREMENTS: Long periods of sitting, walking. Must be flexible in work schedule. Subject to stressful situations. Extended use of video display terminal and keyboard utilizing sound ergonomic principles. xevrcyc May be required to push, pull or lift up to 20 pounds.
Microsoft Dynamics 365 Business Central Specialist (Manufacturing & MRP)
Argyle, TX jobs
Employment Type: Full-time, Permanent
Industry: Manufacturing | ERP | Distribution
About the Role
My client is seeking an experienced Microsoft Dynamics 365 Business Central Specialist to play a key role in a major ERP implementation project. This is a hands on, on-site position where the successful candidate will act as the functional lead for Business Central - driving configuration, optimisation, and best-practice setup across manufacturing operations.
The role will involve close collaboration with production, supply chain, and operations teams to streamline planning, procurement, scheduling, and inventory processes. This is an opportunity to help shape a transformative ERP rollout from discovery through go-live and beyond.
Key Responsibilities
Lead Business Central implementation activities for manufacturing and MRP/MIP (Material Requirements Planning), ensuring alignment with business needs
Analyse operational workflows and translate them into effective Business Central configurations
Configure and support core modules including MRP, Manufacturing, BOMs, Routing, Work Orders, Inventory Management, and related planning tools
Partner with cross-functional teams across manufacturing, supply chain, finance, and operations
Manage project timelines, deliverables, documentation, and post-go-live optimisation
Support user training and ongoing system development as business needs evolve
Drive continuous improvement across planning, scheduling, and inventory processes
Qualifications
5+ years' experience with Microsoft Dynamics 365 Business Central (or NAV), including implementation and functional support
Strong manufacturing and MRP/MIP experience is essential
Deep understanding of production workflows, scheduling, supply chain planning, and inventory control
Proven project management experience across full ERP lifecycles
Excellent communication, analytical, and problem-solving skills
Bachelor's degree in Business, Supply Chain, IT, or a related field preferred
What My Client Is Looking For
A proactive, hands on ERP specialist who thrives in a fast-moving manufacturing environment
Someone who can translate complex operational requirements into practical Business Central solutions
A collaborative partner able to engage confidently with stakeholders across all levels
Why This Role?
Play a key role in a flagship ERP transformation at a growing manufacturing organisation
Work on-site with operational teams and decision-makers
Shape long-term systems, data integrity, and operational efficiency
Infusion Reimbursement Contract Specialist
Frisco, TX jobs
Job DescriptionDescription:
Soleo Health is seeking a Reimbursement Contract Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Soleo Health Perks:
Competitive Wages
Paid Parental Leave Options
401(k) with a match
Great company culture
Referral Bonus
Annual Merit Based Increases
No Weekends or Holidays!
Affordable Medical, Dental, & Vision Insurance Plans
Company Paid Disability & Basic Life Insurance
HSA & FSA (including dependent care) options
Paid Time Off
Education Assistant Program
The Position:
The Reimbursement Contract Specialist supports Reimbursement Contract Management with research throughout the payor contract review process and in addition, provides guidance/trainings to stakeholders on existing and new payor contract information. This requires management of internal resources pertaining to contract reimbursement information within the company intranet site and a high level of written and oral communication with a broad range of stakeholders.
Assists Reimbursement Contracts Manager in review of payor contracts and amendments.
Provides consultation, education and training on payor contract requirements to Intake and Reimbursement teams.
Provides timely and accurate information regarding payor reimbursement methodologies, rates and policies to stakeholders.
Manages payor contract, reimbursement related resources and other payor-related documents on company intranet site.
Prepares reports and assists with special projects.
In collaboration with leadership, investigates payment variances for payor contract non-compliance.
Schedule:
Typical business hours, 8:30-5p
Remote
Requirements:
At least 4 years of experience with Home Infusion therapies and associated HCPC codes
Must have experience with and thorough understanding of Payor Contracts (e.g. for audits, rate review/negotiation or reimbursement language review)
Reimbursement experience (RCM related): Auditing/root cause analysis, financial analysis, Home Infusion billing (medical) or similar
Advanced knowledge of medical insurance plans: Managed Care Organizations, Commercial, Medicare Advantage, Self-Funded, TPAs and providers at financial risk (hospital/health systems, medical group/IPA)
Experience in creation of training material or procedures (SOPs) with ability to disseminate information regarding newly executed contracts to large groups
Advanced knowledge of Home Infusion or Medical Specialty Pharmacy pricing/fee schedules
High level of organization required, with proficiency in the Microsoft suite of products, with an emphasis on Excel and PowerPoint
About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo's Core Values:
Improve patients' lives every day
Be passionate in everything you do
Encourage unlimited ideas and creative thinking
Make decisions as if you own the company
Do the right thing
Have fun!
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Keywords: contract specialist, contract administrator, contracts manager, reimbursement specialist, auditing, analyst, contract, payor, negotiater, training, billing specialist, intake manager, clearance manager, lead, trainer, now hiring, hiring immediately
Infusion Reimbursement Contract Specialist
Frisco, TX jobs
Full-time Description
Soleo Health is seeking a Reimbursement Contract Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Soleo Health Perks:
Competitive Wages
Paid Parental Leave Options
401(k) with a match
Great company culture
Referral Bonus
Annual Merit Based Increases
No Weekends or Holidays!
Affordable Medical, Dental, & Vision Insurance Plans
Company Paid Disability & Basic Life Insurance
HSA & FSA (including dependent care) options
Paid Time Off
Education Assistant Program
The Position:
The Reimbursement Contract Specialist supports Reimbursement Contract Management with research throughout the payor contract review process and in addition, provides guidance/trainings to stakeholders on existing and new payor contract information. This requires management of internal resources pertaining to contract reimbursement information within the company intranet site and a high level of written and oral communication with a broad range of stakeholders.
Assists Reimbursement Contracts Manager in review of payor contracts and amendments.
Provides consultation, education and training on payor contract requirements to Intake and Reimbursement teams.
Provides timely and accurate information regarding payor reimbursement methodologies, rates and policies to stakeholders.
Manages payor contract, reimbursement related resources and other payor-related documents on company intranet site.
Prepares reports and assists with special projects.
In collaboration with leadership, investigates payment variances for payor contract non-compliance.
Schedule:
Typical business hours, 8:30-5p
Remote
Requirements
At least 4 years of experience with Home Infusion therapies and associated HCPC codes
Must have experience with and thorough understanding of Payor Contracts (e.g. for audits, rate review/negotiation or reimbursement language review)
Reimbursement experience (RCM related): Auditing/root cause analysis, financial analysis, Home Infusion billing (medical) or similar
Advanced knowledge of medical insurance plans: Managed Care Organizations, Commercial, Medicare Advantage, Self-Funded, TPAs and providers at financial risk (hospital/health systems, medical group/IPA)
Experience in creation of training material or procedures (SOPs) with ability to disseminate information regarding newly executed contracts to large groups
Advanced knowledge of Home Infusion or Medical Specialty Pharmacy pricing/fee schedules
High level of organization required, with proficiency in the Microsoft suite of products, with an emphasis on Excel and PowerPoint
About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo's Core Values:
Improve patients' lives every day
Be passionate in everything you do
Encourage unlimited ideas and creative thinking
Make decisions as if you own the company
Do the right thing
Have fun!
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Keywords: contract specialist, contract administrator, contracts manager, reimbursement specialist, auditing, analyst, contract, payor, negotiater, training, billing specialist, intake manager, clearance manager, lead, trainer, now hiring, hiring immediately
Salary Description $21 - $25 per hour
Contracting and Credentialing Specialist (Contractor) - Contracting Dept.
Remote
About Amity: Amity Foundation is a safe place where people can change in an environment that fosters trust; where new values can be formed; responsibility developed, and lasting relationships built. Amity is dedicated to the inclusion and habilitation of people marginalized by addiction, homelessness, trauma, criminality, incarceration, poverty, racism, sexism, and violence. Amity is committed to research, development, implementation, and dissemination of information regarding community building.
Remembrance, Resolution, Reconciliation, Restoration, Renewal
About the Position:
The Contracting and Credentialing Specialist is responsible for managing the contracting and credentialing activities with commercial insurance companies and managed care plans and Medicaid agencies in Pima County, Arizona for residential and outpatient treatment, and in multiple counties in California for the California Advancing and Innovating Medi-Cal (Cal-AIM) Enhanced Care Management and Community Supports services. This role oversees the complete process of provider enrollment, application, credentialing, through contract execution, ensuring that all applications are submitted accurately and followed through aggressively. The specialist serves as the point of contact for contract negotiations while maintaining persistent follow-up to expedite approvals and contract activations. What You Will Do:
Work closely with Grants, Contracts and Development team; Chief Operating Officers; Program Manager; and Finance to review current plans and design a timeline for additional plans.
Make initial contact with provider enrollment for each plan.
Oversee the application and credentialing process.
Prepare, submit and track all contracting paperwork, credentialing applications and recredentialing files for all providers and facilities with commercial insurance carriers and Medicaid agencies.
Serve as the primary point of contact for credentialing activities, ensuring accuracy, timelines and compliance requirements.
Monitor credentialing timelines, proactively follow-up through the approval and contracting process.
Maintain an organized tracking system of credentialing statuses, contracting progress, rate agreements, and renewal deadlines.
Attend regular meetings to provide regular reports to leadership regarding credentialing/enrollment completions, contracting process and outstanding issues.
Develop effective working relationships with credentialing and contracting representatives to streamline processes.
Work with the Amity services faculty in Pima County to gather and verify specific information needed for applications in Arizona.
Work with the Amity Enhance Care Management and Community Supports faculty to gather and verify specific information needed for applications in California.
Ensure that all draft contracts are sent to and reviewed by relevant Amity services, finance, legal, people operations, data and executive teams.
Ensure that all fully executed contracts are uploaded to the Amity contracts repository and are also sent to all relevant Amity services, finance, legal, people operations, data and executive teams.
Stay up to date on Medicaid guidelines, commercial insurer requirements and industry best practices related to credentialing and contracting.
Perform other related duties as assigned.
What You Will Bring:
Education and Experience:
Required:
Bachelor's degree in business administration, healthcare management or related field preferred.
3+ years of work experience in credentialing and contracting within healthcare
Proven ability to successfully manage provider credentialing workflows and securing insurer contracts.
Strong organizational skills with eh ability to manage multiple credentialing files and contracts simultaneously.
Excellent communication skills with persistence, assertiveness and a results-driven approach.
Proficiency with Microsoft Office Suite and credentialing and contracting portals.
Preferred:
Highly detail-oriented with zero tolerance for errors in credentialing documentation.
Self-motivated, disciplined, and comfortable in deadline-driven environment.
Understanding of California Advancing and Innovating Medi-Cal (Cal-AIM) for the justice-involved population.
Understanding of the Arizona Health Care Cost Containment System (AHCCCS) for behavioral health services.
Understanding of regional community-level needs with regards to social services for the justice-involved population.
Continuing Education:
Within 90 days of hire, personnel file shall document evidence of participation in the following trainings:
Los Angeles County - required trainings (as needed)
Pima County - required trainings (as needed)
Participate in additional trainings as required
Skills/Abilities:
Exceptional organizational and project management skills, with the ability to independently coordinate and lead multiple projects simultaneously focusing on quality and project follow-through.
Ability to establish effective working relationships with staff, groups, agencies, officials, departments, and boards and manage expectations and priorities from various partners.
Ability to interpret rules, regulations, guidelines, and legislation as they pertain to credentialing and contracting responsibility.
Ability to retain and recall information regarding accounting systems and reporting requirements.
Strong judgement in regard to how to manage sensitive topics.
Analytical, database and reporting skills along with ability to prepare recommendations for courses of action.
Ability to craft or update policies and procedures with a sharp eye for accuracy and detail.
Exceptional organizational and project management skills, with the ability to independently coordinate and lead multiple projects simultaneously focusing on quality and project follow-through.
Ability to frame issues and communicate technical, budgetary, and program details across all functions and to various partners.
Confidence to ask pertinent questions to grasp concepts quickly and think beyond specific tasks.
Superb interpersonal skills with a comfort working across diverse teams and handling senior leaders and use good judgement to resolve issues.
Excellent written and verbal communication skills.
Flexibility and ability to learn and develop new skills on the job.
An ability to balance time efficiently, adhere to strict deadlines and multi-task in a fast-paced environment.
Highly organized, detail-oriented, and committed to quality.
Proactive problem solver and a self-starting individual.
Excel at both working collaboratively and independently.
Flexible, open, positive, and collaborative personality.
Auto-ApplyCredentialing and Contracting Specialist
Pittsburg, KS jobs
Full-time Description
CORE VALUES
The core values of Community Health Center of Southeast Kansas (CHC/SEK) are dignity and stewardship. Each staff member is expected to perform their job duties in a way that preserves dignity for our patients and maintains good stewardship of the CHC/SEK's resources.
GENERAL DESCRIPTION
Under the supervision of the Credentialing and Contracting Manager, the Credentialing and Contracting Specialist is responsible for processing the credentials and privileges of all providers in order to verify accuracy and compliance with, but not limited to, CHC/SEK Credentialing and Privileging Policy and Procedure, State, Federal, and Medicare/Medicaid requirements. This position is also responsible for data integrity of files and information related to the credentialing/recredentialing of CHC/SEK providers/facilities and supports the organization in submitting provider/facility applications to payers for Revenue Cycle purposes.
Requirements
ESSENTIAL DUTIES
Knowledge of and adheres to CHC/SEK's Credentialing Policy and Procedure and ensures process is completed timely.
Completes research, reference and background verification on all providers prior to hiring.
Verifies the professional credentials, references, claims history, fitness and professional review organization's findings.
Uses all available resources to verify provider applications, education, licensing and references following State and Federal guidelines for primary source verification.
Communicates credentialing findings to supervisor.
Creates and maintains database information for providers, including, but not limited to CAQH, KMAP, NPPES, NPI and other license, certification or professional membership that may be required to practice.
Maintains accurate and complete credentialing file for all providers. Files are kept confidential and secure.
Coordinates new provider information, such as DEA, license number and NPI, into the electronic health record system for billing purposes.
Submits accurate and complete application information to payers to receive billing number to allow submission of claims for facilities and providers.
Responsible for third party payer contracts are signed by all parties necessary to ensure plan enrollment.
Maintains basic knowledge of provider/facility credentialing/recredentialing guidelines and network participation for payer enrollments.
Actively communicates and documents status of provider/facility payer enrollments with stakeholders.
Completes EFT and ERA enrollment as part of the enrollment process to ensure electronic payments and claims submissions.
Track progress of licensing requirements for providers as a part of payer enrollment.
Provides accurate, complete and timely credentialing and privileging information for the re-credentialing process.
Actively communicates with applicants, employment references and others as necessary to ensure timely completion of the credentialing and contracting process.
Perform all duties, services and documentation in full compliance with CHC/SEK policies and procedures.
Performs other duties as assigned.
QUALIFICATIONS
High school diploma or equivalent required.
One (1) year of experience in a healthcare office setting preferred.
Any combination of education and work experience that would likely provide the required knowledge and abilities is qualifying.
KNOWLEDGE, SKILLS AND ABILITIES
Social and cultural sensitivity appropriate to ethnically and economically diverse patient-and employee-base.
Communicates through appropriate channels. Use proper chain of command for patient complaints.
Ability to handle emergency situations calmly and effectively.
Must be computer literate and be proficient with the organization's credentialing software system and the electronic medical record.
Must be able to maintain good inter-personal relationship with co-workers and other members of the health care team and the organization.
Provide customer service in accordance to the organization's mission.
Be courteous and respectful when interacting with co-workers and others outside the organization.
Maintain patient confidentiality in accordance to organization's policy and procedure and HIPAA requirements.
WORKING CONDITIONS
While performing the duties of this Job, the employee is regularly required to sit; use hands and fingers to operate computer keyboard, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand. The employee may occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception and ability to adjust focus. Computer work is frequent. Good lighting and comfortable temperature of ventilation at all times.
Credentialing and Contracting Specialist
Pittsburg, KS jobs
CORE VALUES The core values of Community Health Center of Southeast Kansas (CHC/SEK) are dignity and stewardship. Each staff member is expected to perform their job duties in a way that preserves dignity for our patients and maintains good stewardship of the CHC/SEK's resources.
GENERAL DESCRIPTION
Under the supervision of the Credentialing and Contracting Manager, the Credentialing and Contracting Specialist is responsible for processing the credentials and privileges of all providers in order to verify accuracy and compliance with, but not limited to, CHC/SEK Credentialing and Privileging Policy and Procedure, State, Federal, and Medicare/Medicaid requirements. This position is also responsible for data integrity of files and information related to the credentialing/recredentialing of CHC/SEK providers/facilities and supports the organization in submitting provider/facility applications to payers for Revenue Cycle purposes.
Requirements
ESSENTIAL DUTIES
* Knowledge of and adheres to CHC/SEK's Credentialing Policy and Procedure and ensures process is completed timely.
* Completes research, reference and background verification on all providers prior to hiring.
* Verifies the professional credentials, references, claims history, fitness and professional review organization's findings.
* Uses all available resources to verify provider applications, education, licensing and references following State and Federal guidelines for primary source verification.
* Communicates credentialing findings to supervisor.
* Creates and maintains database information for providers, including, but not limited to CAQH, KMAP, NPPES, NPI and other license, certification or professional membership that may be required to practice.
* Maintains accurate and complete credentialing file for all providers. Files are kept confidential and secure.
* Coordinates new provider information, such as DEA, license number and NPI, into the electronic health record system for billing purposes.
* Submits accurate and complete application information to payers to receive billing number to allow submission of claims for facilities and providers.
* Responsible for third party payer contracts are signed by all parties necessary to ensure plan enrollment.
* Maintains basic knowledge of provider/facility credentialing/recredentialing guidelines and network participation for payer enrollments.
* Actively communicates and documents status of provider/facility payer enrollments with stakeholders.
* Completes EFT and ERA enrollment as part of the enrollment process to ensure electronic payments and claims submissions.
* Track progress of licensing requirements for providers as a part of payer enrollment.
* Provides accurate, complete and timely credentialing and privileging information for the re-credentialing process.
* Actively communicates with applicants, employment references and others as necessary to ensure timely completion of the credentialing and contracting process.
* Perform all duties, services and documentation in full compliance with CHC/SEK policies and procedures.
* Performs other duties as assigned.
QUALIFICATIONS
* High school diploma or equivalent required.
* One (1) year of experience in a healthcare office setting preferred.
* Any combination of education and work experience that would likely provide the required knowledge and abilities is qualifying.
KNOWLEDGE, SKILLS AND ABILITIES
* Social and cultural sensitivity appropriate to ethnically and economically diverse patient-and employee-base.
* Communicates through appropriate channels. Use proper chain of command for patient complaints.
* Ability to handle emergency situations calmly and effectively.
* Must be computer literate and be proficient with the organization's credentialing software system and the electronic medical record.
* Must be able to maintain good inter-personal relationship with co-workers and other members of the health care team and the organization.
* Provide customer service in accordance to the organization's mission.
* Be courteous and respectful when interacting with co-workers and others outside the organization.
* Maintain patient confidentiality in accordance to organization's policy and procedure and HIPAA requirements.
WORKING CONDITIONS
While performing the duties of this Job, the employee is regularly required to sit; use hands and fingers to operate computer keyboard, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand. The employee may occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception and ability to adjust focus. Computer work is frequent. Good lighting and comfortable temperature of ventilation at all times.
Senior Provider Contract Specialist
Fort Worth, TX jobs
Department: Network Mgmt Shift: First Shift (United States of America) Standard Weekly Hours: 40 Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi-specialty groups) and ancillary service agreements that are in accordance with corporate, health plan and State guidelines; Recruit and develop network for a region and set of providers; Lead assigned recruitments (i.e., physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectives; Facilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudication; Initiate contact and identify potential providers by geographic and specialty needs and update database; Evaluate and monitor providers' performance standards and financial performance of contracts; Develop contracting action plans; Coordinate with internal departments and contracted providers to implement and maintain contract compliance
Additional Information:
Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi-specialty groups) and ancillary service agreements that are in accordance with corporate, health plan and State guidelines; Recruit and develop network for a region and set of providers; Lead assigned recruitments (i.e., physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectives; Facilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudication; Initiate contact and identify potential providers by geographic and specialty needs and update database; Evaluate and monitor providers' performance standards and financial performance of contracts; Develop contracting action plans; Coordinate with internal departments and contracted providers to implement and maintain contract compliance
Education:
* Bachelor's degree, with 5 years' experience or Associate's degree, 10 years' experience working with healthcare providers, ancillary or hospital groups in a health plan setting preferred otherwise.
* Strong financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena.
* Proven contract preparation skills, with an in-depth knowledge of Medicaid and other reimbursement methodologies.
* Excellent written and verbal communication skills.
* Ability to manage multiple priorities in a fast-paced environment.
* Proficiency in MS Office applications.
* Experience working with healthcare providers, ancillary or hospital groups.
* Experience working with Texas Medicaid.
Preferred Qualifications:
* Contracting Certification
* Provider Relations experience
* Experience with ACO/Risk Contracting
* Value based contracting experience
* CRM experience
* Project Management experience/certification
About Us:
Cook Children's Health Plan
Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.
Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.
Auto-ApplySenior Provider Contract Specialist
Fort Worth, TX jobs
Department:
Network Mgmt
Shift:
First Shift (United States of America)
Standard Weekly Hours:
40 Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi-specialty groups) and ancillary service agreements that are in accordance with corporate, health plan and State guidelines; Recruit and develop network for a region and set of providers; Lead assigned recruitments (i.e., physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectives; Facilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudication; Initiate contact and identify potential providers by geographic and specialty needs and update database; Evaluate and monitor providers' performance standards and financial performance of contracts; Develop contracting action plans; Coordinate with internal departments and contracted providers to implement and maintain contract compliance
Additional Information:
Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi-specialty groups) and ancillary service agreements that are in accordance with corporate, health plan and State guidelines; Recruit and develop network for a region and set of providers; Lead assigned recruitments (i.e., physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectives; Facilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudication; Initiate contact and identify potential providers by geographic and specialty needs and update database; Evaluate and monitor providers' performance standards and financial performance of contracts; Develop contracting action plans; Coordinate with internal departments and contracted providers to implement and maintain contract compliance
Education:
Bachelor's degree, with 5 years' experience or Associate's degree, 10 years' experience working with healthcare providers, ancillary or hospital groups in a health plan setting preferred otherwise.
Strong financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena.
Proven contract preparation skills, with an in-depth knowledge of Medicaid and other reimbursement methodologies.
Excellent written and verbal communication skills.
Ability to manage multiple priorities in a fast-paced environment.
Proficiency in MS Office applications.
Experience working with healthcare providers, ancillary or hospital groups.
Experience working with Texas Medicaid.
Preferred Qualifications:
Contracting Certification
Provider Relations experience
Experience with ACO/Risk Contracting
Value based contracting experience
CRM experience
Project Management experience/certification
About Us:
Cook Children's Health Plan
Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.
Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.
Auto-ApplyContracts Specialist
Lexington Park, MD jobs
Full-time Description
The Contracts Specialist will provide full life cycle contract administration leadership in support of various DoD clients. The ideal candidate shall possess experience reviewing, negotiating, and administering various types of government contracts and subcontracts, in addition to a working knowledge of proposal processes and the associated agreements.
Requirements
Essential Job Functions:
Establish and maintain excellent internal and external customer relations at all levels of the organization, acting as liaison with government Contracting Officers, Customers, and buying officials for all contractual matters for assigned portfolio.
Lead all contracting and proposal activities for assigned portfolio, ensuring adherence to processes, procedures, company policy, FAR/DFAR, and legal/ethical requirements.
Administer, monitor, and track contract performance and cost controls and ensure compliance with contract terms.
Submit monthly government reports to satisfy CDRL requirements.
Prepare pricing and budgets.
Participate in proposal processes as needed.
Other Job Functions:
Responding to inquiries regarding contract obligations and revisions.
Reviewing and relaying standard terms and conditions for various types of agreements.
Maintaining working relationships with program and customer personnel.
Coordinating with project management staff in the day to day functions of the contract to ensure contract compliance and performance.
Other duties as assigned.
Qualifications/Education/Experience/Skills:
Related bachelor's degree and a minimum five (5) years of Contract Administration experience required. An additional four (4) years of related experience may be substituted in lieu of bachelor's degree.
Must be eligible for Secret Clearance. Active Secret preferred.
Must be proficient with MS Word and MS Excel. Proficiency in the entire MS Office Suite preferred.
Physical Requirements:
The work is mostly sedentary involving frequent telephone communication and preparation of written correspondence. While performing the duties of this job, the employee routinely is required to sit, stand, walk, see, hear, and feel. Occasionally will need to lift and/or move up to 10 pounds. Must be able to interpret data, information, and documents. Can learn and apply new information and/or skills.
Benefits:
Compass Systems, Inc. is a profitable, growing company offering excellent salaries and benefits. We are proud to be an Equal Opportunity Employer and demonstrate our commitment to our employees by offering a competitive and valuable rewards program including 401(k), medical, vision, Rx, dental, short and long-term disability, life insurance and recruitment incentives.
Compass Systems Inc. is an Equal Opportunity Employer, including disability and veteran status. Use of any external recruitment or job placement agency is based upon its compliance with our commitment to equal opportunity and affirmative action.
Salary Description $75,000-$100,000
HCSS Acquisition Specialist - Purchasing
Galveston, TX jobs
**Galveston, Texas, United States** **Hot** Clerical & Administrative Support HealthCare System Staffing Requisition # 2506513 To provide professional advisory, technical, and administrative skills necessary to acquire supplies, equipment, and services required by the institution in compliance with all applicable laws, rules, regulation, policies, and procedures. Responsible for performing various tasks related to the Procurement Cycle from planning through order fulfillment for routine procurements that require formal solicitation (ITB/RFP) and selection processes.
**ESSENTIAL JOB FUNCTIONS:**
+ Assists Customers in procurement planning and project coordination by providing budgetary/cost analysis, sourcing, technical & commercial recommendations, defining project scope and requirements, scheduling and risk/benefit analysis information.
+ Prepares general bid-proposal documents including the development of appropriate specifications/requirements, evaluation & selection criteria and process, commercial and legal terms and bidders list.
+ Coordinates and leads the bid/proposal evaluation process and prepares award recommendation for basic contracts.
+ Coordinates and assists in leading the purchase and contract negotiations developing appropriate strategies and tactics to minimize institutional risks and achieve best value.
+ Prepares purchase order/contract documents in accordance with approved templates/formats to ensure inclusion of all appropriate terms, conditions, and requirements.
+ Issues purchase order releases and/or contract amendment consistent with the requirements of the agreement.
+ Actively engages in supplier sourcing and development activities including outreach to Historically Underutilized Businesses.
+ Provides information to Customer to ensure Customers' understanding of purchase order/contract requirements and obligations including Customer's responsibility, if applicable, for contract management and managing supplier performance.
+ Responsible for providing clarification of purchase order/ contract terms and requirements. Identifies discrepancies and facilitates negotiation/resolution of disputes.
+ Issues purchase orders and/or contract amendments consistent with the agreement terms.
+ Provides recommendations and/or prepares appropriate documents for contract renewals, extensions, modifications and termination in coordination with Customer and Purchasing Management.
+ Monitors supplier and/or customer performance and compliance with contract requirements and Purchasing's policies and procedures.
+ Prepares appropriate contract documents (i.e., bids/proposals, correspondence, purchase orders, amendments, etc.) and ensures they are properly completed, organized, filed, recorded, stored, and archived in accordance with applicable policies /procedures.
+ Coordinates compliance with all applicable UTMB, State, and Federal rules and regulations.
+ Develops a strong partnership with customers to proactively understand their ordering habits and trends to assist with their needs.
+ Serves as liaison between vendors, the institution, and departments.
+ Corresponds with parties involved to assure orders, shipping, anddeliveries are timely and in order.
+ Handles routine inquiries regarding the process and basic purchasing policies and procedures.
+ Develops and maintains effective relationships with internal and external customers and serves as a principal liaison between customers and operations.
+ Works closely with customers in problem resolution and consults with customers on problem prevention.
+ Maintains & reports service/process area outcomes.
+ Coordinates and/or assists in the development of service/process area policies and procedures.
+ Adheres to internal controls and reporting structure.
**KNOWLEDGE, SKILLS AND ABILITIES:**
+ Demonstrates good negotiation skills and understanding of negotiation strategies and tactics.
+ Proficient in Microsoft Office Suite
+ Demonstrate the ability to read, interpret and apply legal theories and concepts to develop and negotiate purchase order/contract terms to minimize institutional risk.
+ Good technical writing skills and ability to write specifications.
+ Demonstrates ability to communicate professionally with people at all levels of the organization and external contacts
+ Good organizational and project management skills.
+ Demonstrates the ability to proactively assist customers with their immediate and long-term needs.
+ Ability to analyze and interpret data.
+ Ability to work in a fast-paced environment and work cross-functionally.
+ Working knowledge of current purchasing and on-line systems (e.g., Peoplesoft/Oracle).
+ Demonstrates good customer service skills.
+ Good verbal and written communications skills including the ability to plan, organize, and lead meetings or conduct presentations.
+ Detail oriented.
+ Good overall knowledge of the acquisition process, policies, and procedures.
+ Good mathematics and basic accounting skills.
+ Good problem resolution skills.
+ Ability to work in a team environment contributing ideas, participating in decisions, and achieving outcomes.
**MARGINAL OR PERIODIC JOB FUNCTIONS:**
Performs related duties as required.
**PREFERRED EXPERIENCE:**
Working knowledge of State of Texas Procurement guidelines
**REQUIRED EDUCATION / EXPERIENCE:**
Bachelor's degree or equivalent and two years related experience.
* Work schedule is Monday-Friday (8a-5p)
***HCSS is the in-house staffing agency for UTMB, therefore there are no TRS benefits associated with this position. However, there is an opportunity to participate in the 401k retirement plan offered through HCSS.***
Compensation
+ **Hiring Range: $33.00**
Contract Process Officer
Chattanooga, TN jobs
Essential Duties and Responsibilities:
Provide services and assistance that will support an effective and efficient custody processing, detention stay, and safe release as determined by ICE, facility and field office leadership.
As appropriate, coordinate effectively with Executive Office of Immigration Review (EOIR) personnel on Alternative to Detention (ATD) programs.
Conduct removal planning with detainees such as referrals and connections to resources in home country to support removals.
Assist in travel document collection.
Assist in travel, transportation, and repatriation planning.
Required Knowledge Skills/Abilities:
Ability to work in a multicultural and multilingual environment.
Ability to utilize telephonic interpreter/translation services to complete assigned duties if not fluent in a language the detainee understands.
Ability to adapt to sudden changes in schedules and flexibility in work requirements.
Ability to communicate proficiently in English (verbal and written) in order to develop positive rapport with patients, co-workers and other stakeholders.
Ability to establish and maintain positive working relationships in a multidisciplinary environment.
Ability to navigate in an electronic work environment including electronic health records, web-based training and communications.
Knowledge of, and moderate proficiency in, common Microsoft Office programs, specifically Microsoft Word, Excel, Outlook and SharePoint.
Experience with managing data and data quality assurance.
Troubleshooting, creative problem solving and resourcefulness a must.
Ability to learn new things quickly and work in a team environment.
Ability to multitask, organize and prioritize assignments effectively without constant supervision.
Attention to detail and excellent time management skills required.
Education and Experience:
Degree issuing institution and or program must be accredited by an entity recognized by the U.S. Department of Education.
Bachelor's degree preferred, in social work, social services, criminal justice, or equivalent.
At least two years of related experience (e.g., experience working with immigrants or foreign-born individuals or individuals in custody, parole, and/or probation).
Experience working in or with individuals in a confinement setting.
At least two years of experience providing services to vulnerable populations.
Fluency in Spanish is preferred.
Physical Requirements:
The physical requirements 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 qualified individuals with disabilities to satisfactorily perform these essential functions without causing an undue hardship for the employer.
Long periods of continuous standing and walking.
Frequent periods of sitting.
Repetitive climbing of stairs to reach the assigned areas and working at heights.
Occasional kneeling, squatting, and bending to perform "pat" or "strip" searches.
Frequent grasping, reaching, pushing, pulling, bending, twisting.
Occasionally responding to altercations and occasional restraining and securing assaultive offenders.
Ability to respond rapidly to potential security and/or medical codes/issues.
Frequent transferring and transporting offenders by walking or riding in various vehicles such as vans, buses, and other forms of transportation.
Continuous periods of operating/driving company vehicles to pick up and transport offenders for 4 hours or more per shift.
Remaining awake and alert while on duty.
Occasional lifting and carrying.
Ability to occasionally withstand direct or indirect exposure to OC spray.
Exposure to outdoor elements and temperatures.
Pay: 19.44 per hour
Senior Administrator - Contracts, Language Services
Dallas, TX jobs
Welcome to AMN Healthcare - Where Talent Meets Purpose
Ever wondered what it takes to build one of the largest and most respected healthcare staffing and total talent solutions companies? It takes trailblazers, innovators, and exceptional people like you.
At AMN Healthcare, we don't just offer jobs - we build careers that make a difference.
Why AMN Healthcare? Because Excellence Is Our Standard:
Named to
Becker's Top 150 Places to Work in Healthcare
- three years running.
Consistently ranked among
SIA's Largest Staffing Firms in America
.
Honored with
Modern Healthcare's Innovators Award
for driving change through innovation.
Proud holder of
The Joint Commission's Gold Seal of Approval for Staffing Companies
since 2006.
** Dallas, TX, Boca Raton, FL, Atlanta, GA or San Diego, CA Office- 4 days onsite, 1 day remote
Job Responsibilities
Contract Management
Prepare, review, and redline NDAs, MSAs, SOWs, amendments, and BAAs to ensure compliance with company standards and legal requirements.
Track revisions and version control throughout negotiations; add business-approved language and escalate high-risk terms.
Manage signature workflows via DocuSign and maintain executed copies for audit readiness.
Collaborate with Sales, Account Management, Billing, and Legal to resolve discrepancies and meet contract entry deadlines.
Train Language Services team on contract lifecycle processes.
Salesforce Administration
Utilize intake forms for new contracts, amendments, and renewals; ensure accurate linkage to client accounts.
Support workflow integration with Salesforce queues and reporting portals.
GPO Support
Maintain accurate GPO IDs and tiers; update MSA changes and track GPO numbers.
Assist with regular cadence of GPO-related tasks and approvals.
Key Skills
Strong contract administration and redlining experience.
Advanced organizational and communication skills.
Proficiency in Microsoft Office; Salesforce experience preferred.
Ability to manage ~50-60 contracts annually and prioritize multiple tasks independently.
Adaptability to changing business needs and commitment to accuracy.
Qualifications
High School Diploma/GED plus 5-7 years of contract administration experience; Bachelor's degree preferred.
Proven ability to manage end-to-end contract processes and collaborate with cross-functional teams.
Work Environment / Physical Requirements
Work is performed in an office/home office environment.
Team Members must have the ability to operate standard office equipment and keyboards.
AMN Healthcare will provide reasonable accommodations to qualified individuals with disabilities to enable them to perform the essential functions of the job.
Our Core Values
● Respect ● Passion ● Continuous Improvement ● Trust ● Customer Focus ● Innovation
At AMN we embrace the ways we are similar and different; respecting all voices and ensuring everyone has the opportunity to contribute to our collective success. We acknowledge our shared responsibility to foster a welcoming environment where everyone feels recognized and valued. We cast a wide net to recruit and retain competitive talent and build healthcare workforces supportive of the communities we serve. We believe in the power of compassion and collaboration to build healthy communities where access to quality care is available to all. Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities.
At AMN we recognize that in-person connections have value and promote collaboration. You will be expected to come into an AMN Healthcare office at a frequency dependent on the work arrangement for your role.
Pay Rate$24.50 - $29.25 Hourly
Final pay rate is dependent on experience, training, education, and location.
Auto-ApplySenior Administrator - Contracts, Language Services
Texas jobs
Welcome to AMN Healthcare - Where Talent Meets Purpose Ever wondered what it takes to build one of the largest and most respected healthcare staffing and total talent solutions companies? It takes trailblazers, innovators, and exceptional people like you.
At AMN Healthcare, we don't just offer jobs - we build careers that make a difference.
Why AMN Healthcare? Because Excellence Is Our Standard:
* Named to Becker's Top 150 Places to Work in Healthcare - three years running.
* Consistently ranked among SIA's Largest Staffing Firms in America.
* Honored with Modern Healthcare's Innovators Award for driving change through innovation.
* Proud holder of The Joint Commission's Gold Seal of Approval for Staffing Companies since 2006.
Dallas, TX, Boca Raton, FL, Atlanta, GA or San Diego, CA Office- 4 days onsite, 1 day remote
Job Summary
AMN Healthcare Language Services is seeking a detail-oriented Senior Administrator - Contracts to manage contract workflows and ensure compliance. This role serves as a Contracts Consultant, responsible for accurate execution of agreements, maintaining Salesforce data integrity, and supporting audits and Group Purchasing Organization (GPO) requirements.
Key Attributes for Success:
The ideal candidate demonstrates exceptional attention to detail and strong organizational skills, with the ability to manage multiple priorities in a fast-paced environment. Excellent communication and problem-solving abilities are essential for effective collaboration across teams. A commitment to building trust and fostering positive relationships with business partners and colleagues is critical for success in this role.
Job Responsibilities
Contract Management
* Prepare, review, and redline contracts including NDAs, MSAs, SOWs, vendor agreements, amendments, and Business Associate Agreements to ensure compliance with company standards, legal requirements, and audit readiness.
* Partner with internal stakeholders (Legal, Sales, Procurement, Account Operations, Billing, etc.) to align on contract terms, resolve discrepancies, and support business objectives.
* Track and manage contract revisions and version control throughout the negotiation process.
* Identify and escalate high-risk terms or deviations from standard language to legal counsel or management.
* Route all contracts (including Business Associate Agreements, Amendments, Statements of Work) through the Contracts Team for approval validation and correct signer assurance.
* Balances workload requirements while working closely with internal partners such as Billing, Client Receivables, and Sales to ensure Client Contract Entry deadlines are achieved accurately and efficiently and business partners are satisfied.
* Monitor compliance with Sarbanes-Oxley, legal, tax, and financial policies by ensuring appropriate reviews and approvals are completed.
* Collaborate with Legal and Sales to develop contract language that adheres to State and Federal guidelines and industry standards. Prepare and review agreements, ensuring compliance with internal policies and SOC 2 audit readiness.
* Manage signature workflows via DocuSign or client-specific processes, ensuring executed copies are retained for audit purposes.
* Collaborate with Sales + Account Operations and Account Management to resolve contract discrepancies and billing issues, including adding clauses for unbilled services.
Salesforce Administration
* Utilize Salesforce intake forms for new contracts, amendments, and renewals, ensuring accurate linkage to client accounts.
* Support integration of contract workflows with Salesforce queues and reporting portals.
GPO Support & Audits
* Validate and maintain accurate GPO IDs and tiers for clients; collaborate with internal teams to ensure compliance, including updates for billing corrections and revenue capture.
* Prepare documentation for internal and external audits, ensuring adherence to SOC 2 and other regulatory requirements.
Key Skills
* Sophisticated knowledge of Microsoft Office
* Diligent, reliable, and strong customer service skills
* Ability to multi-task
* Excellent written and verbal communication skills
* Strong knowledge of Salesforce is required.
* Focus on achieving measurable results and driving procedural improvements.
* Adaptability to changing business environments and evolving organizational needs.
Miscellaneous Operational Tasks
* Assist with intake and approval processes for special terms, pricing, and service line additions.
* Coordinate with Legal, Risk Management, and Sales + Business Operations for contract redlines, insurance requirements, and compliance updates.
* Support cross-functional teams, projects, and vendor agreements.
Qualifications
Education & Years of Experience
* High School Diploma/GED plus 5-7 years of work experience
Additional Experience
* Bachelor's degree in Business Administration, Legal Studies, Finance, Healthcare Administration, or a related field OR High School diploma combined with a minimum of 5+ years of applicable experience in contract administration, compliance, or related area.
* Contract Administration Experience: Proven ability to manage the end-to-end process for master service agreements, contract amendments, and compliance processes.
* Advanced Communication & Organizational Skills: Skilled at collaborating with Sales, Account Management, Legal, Risk, and other cross-functional teams.
* Audit & Compliance Knowledge: Familiarity with SOC 2 requirements and audit preparedness preferred.
* GPO Experience: Understanding of GPO structures, ID validation, and tier management preferred.
Work Environment / Physical Requirements
* Work is performed in an office/home office environment.
* Team Members must have the ability to operate standard office equipment and keyboards.
AMN Healthcare will provide reasonable accommodations to qualified individuals with disabilities to enable them to perform the essential functions of the job.
Our Core Values
● Respect ● Passion ● Continuous Improvement ● Trust ● Customer Focus ● Innovation
At AMN we embrace the ways we are similar and different; respecting all voices and ensuring everyone has the opportunity to contribute to our collective success. We acknowledge our shared responsibility to foster a welcoming environment where everyone feels recognized and valued. We cast a wide net to recruit and retain competitive talent and build healthcare workforces supportive of the communities we serve. We believe in the power of compassion and collaboration to build healthy communities where access to quality care is available to all. Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities.
At AMN we recognize that in-person connections have value and promote collaboration. You will be expected to come into an AMN Healthcare office at a frequency dependent on the work arrangement for your role.
Pay Rate
$24.50 - $29.25 Hourly
Final pay rate is dependent on experience, training, education, and location.
Contracting Specialist III-Managed Care
Maryland jobs
Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here.
What awaits you:
Work-life balance - This is a remote role. Applicants living in MD, VA, DC, PA, DE, or FL will be given first consideration. Quarterly travel to the Hanover, MD office may be required.
Medical, Dental, and Vision Insurance.
403B Savings Plan w/employer contribution.
Paid Time off & Paid holidays.
Employee and Dependent Tuition assistance benefits.
Health and wellness programs and MORE!
Who you are:
Responsible for maintaining the development of provider networks that includes recruitment, negotiating complex contracts, contacting, and re-contracting of current provider network. The position is responsible for reviewing network adequacy and determining recruitment needs within all specialties, taking appropriate actions to recruit new providers to fill in gaps to meet accreditation standards and JHHP's strategic initiatives, and negotiating within the financial parameters to gain maximum cost efficiency and support JHHP's goals and strategic initiatives.
As a Contract Specialist III, you will negotiate complex contracts including Value based Contracts, Cost Reduction Related Contracts, “Risk” agreements, etc. Works in conjunction with analytics and the Finance team to develop financial models analyzing Value Based Contracts shared savings, Capitation, bundled pricing, and other reimbursement methodologies. Negotiates complex managed care contracts securing optimal reimbursement and driving high Quality outcomes. Leads the implementation process to ensure all contracts are loaded into the provider maintenance Systems, reporting is implemented and contract is operational. Manages the post implementation Process of all assigned Complex Contracts. Manages and audits the loading and updates of pricing and reimbursement terms to ensure contract compliance and appropriate reimbursement. Actively works within Networks Management and is the JHHP Networks management representative to address any questions or concerns related to complex contracts.
What you'll do:
Engage and develop JHHP contractual relationships with a wide range of behavioral health providers including psychiatrists, therapist, residential treatment facilities, and outpatient clinics.
Lead the implementation process to ensure all contracts are loaded into the provider maintenance Systems, reporting is implemented, and contract is operational.
Manage the post implementation process of all assigned complex contracts including behavioral health providers and /or other specialized provider types
Manage and audit the loading and updates of pricing and reimbursement terms to ensure contract compliance and appropriate reimbursement.
Actively work within Networks Management and is the JHHP Networks management representative to address any questions or concerns related to complex contracts.
What you'll bring:
More than five years prior experience in Contracting/Network Development in healthcare delivery program or insurance setting, experience in developing various reimbursement standards. May provide guidance or expertise to less experienced specialists.
Experience should include: Provider contracting, negotiating complex fee schedules, knowledge of managed care concepts and billing information systems. Value Based/Gain Share/Risk contracting experience preferred.
Requires a strong ability to negotiate high dollar reimbursement, sound knowledge of successful selling, and negotiation techniques and an awareness of healthcare contracting terms.
Ability to negotiate provider contract fee schedules and performance guarantees.
Strong ability to develop unique alternative reimbursement standards that are cost efficient.
Familiarity and knowledge of managed care concepts required
Understanding of Mental Health Parity and Addiction Equity Act (MHPAEA) and its implications on contracting.
Knowledge of HIPAA, CMS guidelines, and state-specific Medicaid managed care requirements.
Competence in analyzing claims, utilization trends, cost data, and competitive market rates to support contract terms.
Ability to use data to develop pricing proposals and assess financial impacts of contracting decisions
Excellent interpersonal, written, and verbal communication skills.
Bachelor's degree in business management or healthcare administration or related discipline preferred. Experience can be used in lieu of education on a 2:1 basis. (8 relevant YOE=4 year degree)
Experience with alternative payment models (APMs), value-based contracting, and bundled payments in behavioral health, highly preferred
Skilled in network adequacy analysis and identifying strategic network expansion opportunities, preferred
Who we are:
Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP is a leader in provider-sponsored health plans and is poised for future growth.
Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve.
Salary Range: Minimum 33.90/hour - Maximum 55.98/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Sourcing and Contracts Specialist - (Clinical Services)
Fort Worth, TX jobs
Who We Are JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people.
Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance
outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.
Why JPS?
We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road:
1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence.
2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.
3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS.
When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you!
For more information, visit *********************
To view all job vacancies, visit ********************* ***************************** or ********************
Job Title:
Sourcing and Contracts Specialist - (Clinical Services)
Requisition Number:
41206
Employment Type:
Full Time
Division:
SUPPLY CHAIN & PURCHASING
Compensation Type:
Salaried
Job Category:
Business / Professional
Hours Worked:
8:00AM - 5:00PM
Location:
John Peter Smith Hospital
Shift Worked:
Day
:
Job Summary: The Sourcing and Contracts Specialist leads procurement optimization by sourcing high-quality products and services at competitive prices while ensuring compliance with healthcare regulations and organizational policies. This position is responsible for managing the entire contract life cycle to include vendor relationships, negotiating contracts, and supporting strategic sourcing initiatives to enhance cost efficiency and operational effectiveness across the health system.
Essential Job Functions & Accountabilities:
* Identifies and evaluates potential suppliers for medical and non-medical goods and services.
* Conducts market research to stay informed of industry trends, pricing, and emerging suppliers.
* Acts as a subject matter expert on sourcing and contracts matters, providing insights on trends, regulatory requirements, and risk mitigation strategies.
* Drives cross-functional collaboration with stakeholders (clinical and non-clinical) to understand sourcing needs and ensures alignment with organizational goals.
* Leads the development and execution of sourcing strategies to drive cost savings and improve supply chain efficiency.
* Negotiates contract terms, pricing, and service levels with vendors to secure the best value.
* Drafts, reviews, and manages contracts to ensure compliance with legal, regulatory, and organizational policies.
* Collaborates with the Legal team to review contract terms and mitigate risks.
* Monitors contract performance and vendor compliance, addressing issues as needed.
* Maintains a contract database to track expiration dates, renewal options, and pricing agreements.
* Develops strong relationships with key suppliers to foster collaboration and performance improvement.
* Works with internal departments (e.g., Finance, Legal, Clinical Operations) to align sourcing strategies with business objectives.
* Conducts supplier performance evaluations and provide feedback to ensure continuous improvement.
* Ensures all sourcing and contracting activities comply with healthcare regulations (e.g., HIPAA, FDA, Joint Commission standards).
* Supports supplier diversity initiatives and ethical sourcing practices.
* Mitigates supply chain risks by developing contingency plans and alternative sourcing options.
* Analyzes procurement data to identify cost-saving opportunities and efficiency improvements.
* Prepares reports and dashboards on sourcing performance, contract spend, and supplier metrics.
* Uses data-driven insights to optimize procurement strategies and decision-making.
* Designs and delivers training for internal stakeholders on sourcing strategies, contract compliance, and procurement tools, as applicable.
* Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.
Qualifications:
Required Qualifications:
* Bachelor's degree in Supply Chain Management, Business Administration, Healthcare Administration, or a related field.
* 4 years of experience in sourcing, procurement, or contracting, preferably within a healthcare setting to include experience negotiating contracts for medical supplies, pharmaceuticals, equipment, and/or professional services.
Preferred Qualifications:
* Certified Materials & Resource Professional (CMRP).
* Certifications in government procurement. National or State Certification (NCMA (CCCM/CPCM) or TX Comptroller CTCD/CTCM).
Location Address:
1500 S. Main Street
Fort Worth, Texas, 76104
United States