Senior Contract Specialist jobs at Humana

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management. **Job Duties** This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception. - Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting. - Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. - Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. - Clearly and professionally communicates VBC contract terms to VBC providers. - Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. - Communicates proactively with other departments to ensure effective and efficient business results. - Trains and monitors newly hired Contract Specialist(s). - Participates in other VBC related special projects as directed. - Limited team travel once to twice annually. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. - 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required. Pay Range: $30.37 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management. Job Duties This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting. * Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. * Clearly and professionally communicates VBC contract terms to VBC providers. * Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. * Communicates proactively with other departments to ensure effective and efficient business results. * Trains and monitors newly hired Contract Specialist(s). * Participates in other VBC related special projects as directed. * Limited team travel once to twice annually. Job Qualifications REQUIRED EDUCATION: Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience PREFERRED EXPERIENCE: Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required. Pay Range: $30.37 - $61.79 / HOURLY * 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.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management. Job Duties This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception. • Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting. • Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. • Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. • Clearly and professionally communicates VBC contract terms to VBC providers. • Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. • Communicates proactively with other departments to ensure effective and efficient business results. • Trains and monitors newly hired Contract Specialist(s). • Participates in other VBC related special projects as directed. • Limited team travel once to twice annually. Job Qualifications REQUIRED EDUCATION: Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. • 1-3 Years Managed Care experience PREFERRED EXPERIENCE: Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management. **Job Duties** This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception. - Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting. - Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. - Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. - Clearly and professionally communicates VBC contract terms to VBC providers. - Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. - Communicates proactively with other departments to ensure effective and efficient business results. - Trains and monitors newly hired Contract Specialist(s). - Participates in other VBC related special projects as directed. - Limited team travel once to twice annually. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. - 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required. Pay Range: $30.37 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management. Job Duties This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting. * Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. * Clearly and professionally communicates VBC contract terms to VBC providers. * Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. * Communicates proactively with other departments to ensure effective and efficient business results. * Trains and monitors newly hired Contract Specialist(s). * Participates in other VBC related special projects as directed. * Limited team travel once to twice annually. Job Qualifications REQUIRED EDUCATION: Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience PREFERRED EXPERIENCE: Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required. Pay Range: $30.37 - $61.79 / HOURLY * 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.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management. Job Duties This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting. * Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. * Clearly and professionally communicates VBC contract terms to VBC providers. * Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. * Communicates proactively with other departments to ensure effective and efficient business results. * Trains and monitors newly hired Contract Specialist(s). * Participates in other VBC related special projects as directed. * Limited team travel once to twice annually. Job Qualifications REQUIRED EDUCATION: Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience PREFERRED EXPERIENCE: Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required. Pay Range: $30.37 - $61.79 / HOURLY * 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.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management. **Job Duties** This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception. - Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting. - Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. - Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. - Clearly and professionally communicates VBC contract terms to VBC providers. - Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. - Communicates proactively with other departments to ensure effective and efficient business results. - Trains and monitors newly hired Contract Specialist(s). - Participates in other VBC related special projects as directed. - Limited team travel once to twice annually. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. - 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required. Pay Range: $30.37 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management. **Job Duties** This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception. - Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting. - Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. - Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. - Clearly and professionally communicates VBC contract terms to VBC providers. - Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. - Communicates proactively with other departments to ensure effective and efficient business results. - Trains and monitors newly hired Contract Specialist(s). - Participates in other VBC related special projects as directed. - Limited team travel once to twice annually. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. - 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required. Pay Range: $30.37 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management. Job Duties This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting. * Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. * Clearly and professionally communicates VBC contract terms to VBC providers. * Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. * Communicates proactively with other departments to ensure effective and efficient business results. * Trains and monitors newly hired Contract Specialist(s). * Participates in other VBC related special projects as directed. * Limited team travel once to twice annually. Job Qualifications REQUIRED EDUCATION: Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience PREFERRED EXPERIENCE: Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required. Pay Range: $30.37 - $61.79 / HOURLY * 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.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management. **Job Duties** This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception. - Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting. - Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. - Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. - Clearly and professionally communicates VBC contract terms to VBC providers. - Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. - Communicates proactively with other departments to ensure effective and efficient business results. - Trains and monitors newly hired Contract Specialist(s). - Participates in other VBC related special projects as directed. - Limited team travel once to twice annually. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. - 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required. Pay Range: $30.37 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management. Job Duties This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting. * Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. * Clearly and professionally communicates VBC contract terms to VBC providers. * Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. * Communicates proactively with other departments to ensure effective and efficient business results. * Trains and monitors newly hired Contract Specialist(s). * Participates in other VBC related special projects as directed. * Limited team travel once to twice annually. Job Qualifications REQUIRED EDUCATION: Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience PREFERRED EXPERIENCE: Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required. Pay Range: $30.37 - $61.79 / HOURLY * 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.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management. **Job Duties** This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception. - Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting. - Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. - Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. - Clearly and professionally communicates VBC contract terms to VBC providers. - Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. - Communicates proactively with other departments to ensure effective and efficient business results. - Trains and monitors newly hired Contract Specialist(s). - Participates in other VBC related special projects as directed. - Limited team travel once to twice annually. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. - 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required. Pay Range: $30.37 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

The Payment Compliance & Contract Management Specialist (PCCM Specialist) serves as a subject matter expert and team lead, responsible for maximizing reimbursement through the identification of revenue opportunities and resolution of contractual variances. This role oversees quality assurance and performance management processes, providing guidance to team members and allocating workloads effectively. This role also involves analyzing reimbursement discrepancies, providing strategic insights, and collaborating with internal and external stakeholders to improve revenue cycle processes. As a Payment Compliance & Contract Management Specialist (PCCM Specialist) at Community Health Systems (CHS) - PCCM, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. Essential Functions Conducts quality monitoring to ensure team performance meets departmental metrics, and provides actionable recommendations to senior leadership when KPIs are not achieved. Trains and mentors staff to ensure team efficiency and compliance with departmental standards. Manages, maintains, and directs key technologies administered by the department to support payment compliance and contract management activities. Analyzes workload demands through data analysis, assigning tasks to team members based on priorities and department needs. Identifies opportunities for process improvement and collaborates with external organizations to enhance payment integrity and optimize contract modeling. Performs other duties as assigned. Complies with all policies and standards. This is a fully remote opportunity. Qualifications Bachelor's Degree or equivalent work experience on a year-for-year basis required 3-5 years of experience in healthcare reimbursement, contract management, or revenue cycle operations required Demonstrated expertise in analyzing and interpreting payer contracts and reimbursement methodologies required Experience working with insurance payor contracts stronly preferred. Knowledge, Skills and Abilities Strong analytical and data interpretation skills. Advanced understanding of healthcare reimbursement systems and payer contracts. Excellent leadership and team collaboration abilities. Effective communication and presentation skills. Proficiency in data analysis tools and healthcare billing software. High attention to detail and ability to manage multiple priorities. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

The Payment Compliance & Contract Management Specialist (PCCM Specialist) serves as a subject matter expert and team lead, responsible for maximizing reimbursement through the identification of revenue opportunities and resolution of contractual variances. This role oversees quality assurance and performance management processes, providing guidance to team members and allocating workloads effectively. This role also involves analyzing reimbursement discrepancies, providing strategic insights, and collaborating with internal and external stakeholders to improve revenue cycle processes. As a Payment Compliance & Contract Management Specialist (PCCM Specialist) at Community Health Systems (CHS) - PCCM, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. Essential Functions * Conducts quality monitoring to ensure team performance meets departmental metrics, and provides actionable recommendations to senior leadership when KPIs are not achieved. * Trains and mentors staff to ensure team efficiency and compliance with departmental standards. * Manages, maintains, and directs key technologies administered by the department to support payment compliance and contract management activities. * Analyzes workload demands through data analysis, assigning tasks to team members based on priorities and department needs. * Identifies opportunities for process improvement and collaborates with external organizations to enhance payment integrity and optimize contract modeling. * Performs other duties as assigned. * Complies with all policies and standards. * This is a fully remote opportunity. Qualifications * Bachelor's Degree or equivalent work experience on a year-for-year basis required * 3-5 years of experience in healthcare reimbursement, contract management, or revenue cycle operations required * Demonstrated expertise in analyzing and interpreting payer contracts and reimbursement methodologies required * Experience working with insurance payor contracts stronly preferred. Knowledge, Skills and Abilities * Strong analytical and data interpretation skills. * Advanced understanding of healthcare reimbursement systems and payer contracts. * Excellent leadership and team collaboration abilities. * Effective communication and presentation skills. * Proficiency in data analysis tools and healthcare billing software. * High attention to detail and ability to manage multiple priorities. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

The Payment Compliance & Contract Management Specialist (PCCM Specialist) serves as a subject matter expert and team lead, responsible for maximizing reimbursement through the identification of revenue opportunities and resolution of contractual variances. This role oversees quality assurance and performance management processes, providing guidance to team members and allocating workloads effectively. This role also involves analyzing reimbursement discrepancies, providing strategic insights, and collaborating with internal and external stakeholders to improve revenue cycle processes. As a Payment Compliance & Contract Management Specialist (PCCM Specialist) at Community Health Systems (CHS) - PCCM, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. **Essential Functions** + Conducts quality monitoring to ensure team performance meets departmental metrics, and provides actionable recommendations to senior leadership when KPIs are not achieved. + Trains and mentors staff to ensure team efficiency and compliance with departmental standards. + Manages, maintains, and directs key technologies administered by the department to support payment compliance and contract management activities. + Analyzes workload demands through data analysis, assigning tasks to team members based on priorities and department needs. + Identifies opportunities for process improvement and collaborates with external organizations to enhance payment integrity and optimize contract modeling. + Performs other duties as assigned. + Complies with all policies and standards. + **This is a fully remote opportunity.** **Qualifications** + Bachelor's Degree or equivalent work experience on a year-for-year basis required + 3-5 years of experience in healthcare reimbursement, contract management, or revenue cycle operations required + Demonstrated expertise in analyzing and interpreting payer contracts and reimbursement methodologies required + Experience working with insurance payor contracts stronly preferred. **Knowledge, Skills and Abilities** + Strong analytical and data interpretation skills. + Advanced understanding of healthcare reimbursement systems and payer contracts. + Excellent leadership and team collaboration abilities. + Effective communication and presentation skills. + Proficiency in data analysis tools and healthcare billing software. + High attention to detail and ability to manage multiple priorities. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Identify, negotiate and manage high performing provider and vendor partnerships. Negotiate vendor or provider contracts and manage implementations and ongoing relationships. Perform market research and analysis as directed. Define, initiate, and direct financial analyses and operational reporting for the assigned vendor and provider agreements. Lead, manage, and track ongoing financial and operational success of designated partnership. Develop and initiate corrective action plans or agreement modifications where necessary, coordinating with local health plans and other applicable internal teams. Initiate and lead meetings with health plans and corporate teams, including executive management, to review vendor and provider agreement performance data and scorecards, and partnership strategy. Education/Experience: Bachelor's degree in Computer Science, Finance or related field or equivalent experience. 8+ years of vendor and/or provider contract negotiations, contract analysis and/or modeling experience in health care or similar industry. Experience negotiating contracts with successful outcomes and measurable financial results. Experience with presenting and communicating negotiation strategies and results at senior levels. Experience with health care provider negotiations for pharmacy benefit management or managed care preferred. This position is remote with a strong preference for candidates to reside within the state of Arizona. Quarterly meetings in Tempe, AZ office required. Travel up to 10% required. Pay Range: $105,600.00 - $195,400.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

The Provider Contract Negotiator supports the North Florida market and serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day-to-day contracting and network activities. Duties and Responsibilities + Manages submission process of contracting and negotiations for fee for service with physicians and ancillaries + Supports the development and management of value-based relationships. + Builds and maintains relationships that nurture provider partnerships to support the local market strategy. + Initiates and maintains effective channels of communication with matrix partners including, but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. + Supports strategic positioning for provider contracting, assists in the development of networks and helps identify opportunities for greater value-orientation. + Contributes to the development of alternative network initiatives. Supports analytics required for the network solution. + Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. + Supports initiatives that improve total medical cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with total medical cost initiatives. + Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. + Creates "HCP" agreements that meet internal operational standards and external provider expectations. Ensures accurate implementation, and administration through matrix partners. + Assists in resolving provider service complaints. Research problems and negotiates with internal/external partners/customers to resolve escalated issues. + Manages provider relationships and is accountable for critical interface with providers and business staff. + Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. + Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. + Other duties, as assigned. Qualifications + Ideal candidate will currently reside in either Lake Mary, Tampa or Orlando areas. + Bachelor's degree strongly preferred in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree. + 1+ years of Provider Contracting and Negotiating for Healthcare Provider/Ancillary group experience strongly preferred. + 1+ years prior Provider Servicing/Provider Relations experience strongly preferred. + Experience in developing and managing relationships. + Understanding and experience with managed care and provider business models a plus. + Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. + The ability to influence audiences through strong written and verbal communication skills. Experience with formal presentations. + Customer centric and interpersonal skills are required. + Demonstrates an ability to maneuver effectively in a changing environment. + Demonstrates problem solving, decision-making, negotiating skills, contract language and financial acumen. + Proficient with Microsoft Office tools required. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

The Hospital/Physician/Ancillary Contract Negotiator serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. Creates and manages initiatives that improve total medical cost and quality. Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues. Manages key provider relationships and is accountable for critical interface with providers and business staff. Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. May provide guidance or expertise to less experienced specialists. POSITION REQUIREMENTS 3+ years Hospital, Physician, Ancillary contracting and negotiating experience involving complex delivery systems and organizations required. Experience in a Managed Care, Healthcare, Health Insurance environment Experience in developing and managing key provider relationships Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred. Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. Intimate understanding and experience with hospital, managed care, and provider business models. Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations. Customer centric and interpersonal skills are required. Demonstrates an ability to maneuver effectively in a changing environment. Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. Knowledge and use of Microsoft Office tools. Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree. MBA or MHA preferred. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

can be located anywhere in the USA This role delivers professional activities in the Provider Contracting job family. The position is responsible for dental provider recruitment and contracting as well as managing contracted provider relationships for a specified territory. Conducts daily outreach to dental offices or providers to develop and maintain positive relationships with the purpose of negotiating a contract for participation in our dental networks. Ability and willingness to travel frequently within the US including overnight stays. Conduct quality reviews of Practitioner and/or Facility/Ancillary contracts. Conducts comparison of contract data relative to provider data and/or demographic and reimbursement data submitted for processing. Assesses the accuracy of provider data processed in accordance with documented and standard operating policies and procedures. Applies standard techniques and procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial reports/analyses for review. May provide guidance, coaching, and direction to more junior members of the team in the Network Management Organization. Responsibilities: Recruiting providers to join Cigna's dental networks (PPO & DHMO): Field Recruitment: Candidates will visit offices in person (25-50% travel) Outbound Calling: Candidates will follow up with visited offices via phone at home Identifying, recruiting, contracting, and retaining qualified health care professionals in geographic area within established guidelines to meet health plan needs Achieve competitive and cost-effective contracts in assigned areas or assigned client/customer needs Negotiate contracts and recruit dental providers to become a Cigna PPO and/or DHMO network provider. Explain plans, policies, and procedures to potential providers Maintain positive relationships with health care professionals and their office staff extending high quality service Conduct negotiations and ensure the smooth operation and administration of provider agreements Support and retention of offices in our dental networks Complete onsite quality assessments Respond to provider inquiries, concerns, complaints, appeals and grievances Provide ongoing product education to dentists and their staff Work to achieve contract discounts with new providers and current providers through thoughtful negotiation Use data and facts to identify and overcome objections Prioritize and organize own work to meet deadlines, and reach established personal and department goals Conduct ongoing support to contracted providers in our networks via telephone or by personal relationship visits. Requirements: High School Diploma or equivalent required 1-3 year plus experience in healthcare administration or provider relationship management, preferably experience working with Dental offices Strong skill set required in the following areas: analytical, negotiations, financials, presentation skills, written and oral communication skills Strong negotiation and communication skills Self-Starter and organized Intermediate proficiency in Microsoft Office products required Valid drivers license Phone Etiquette - Inbound/Outbound calls Ability to manage multiple priorities in a fast-paced environment Strong relationship management skills: ability to foster collaboration, value other perspectives and gain support and buy-in Sales Experience is a plus Bilingual is a plus (English and Spanish) This position can be located anywhere in the USA If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 58,500 - 97,500 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.