Provider Contracting Director jobs in Bridgeport, CT

Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

H
Contracting Specialist
  • Health Plan One
  • Trumbull, CT FULL_TIME
  • HealthPlanOne's mission is to help people find the right health insurance at the right price, so they live healthier lives. We are committed to making the shopping process simpler. Our mission has never been more important than it is today.

    The Contracting Specialist is responsible for onboarding new agents, and managing all information related to select insurance carrier appointments in the internal database systems.

    Duties/Responsibilities:

    • Ensure that HPOne has the most current carrier appointment requirements and process on file and maintain and organize requirements within QuickBase database system for easy access and to provide as a tutorial for other department members
    • Complete, submit and follow up on carrier appointment paperwork for all internal HPOne agents and agency
    • Send contracting paperwork to agents to obtain signatures
    • Submit appointment fee requests to Finance Department where applicable
    • Maintain electronic files of all agent and agency carrier appointment paperwork
    • Send carrier appointment/certification requirements/links to agents and obtain and file completion certificates electronically
    • Manage all applicable carrier appointments within the QuickBase License Management System, including status changes from submitted to fully/actively appointed
    • Ensure all appointment confirmations are received in writing from carrier
    • Submit any state license add-on requests to applicable carriers and follow up to ensure active/ready to sell status
    • Provide back up to assigned “contracting partner” on applicable carriers
    • Communicate with appropriate “Sales Leaders” should you need additional assistance with agents completing certs, completing paperwork, etc.
    • Provide license ordering/renewing support
    • Provide inbound/outbound phone support
    • Provide assistance with reports
    • Provide back up for Medicare application scrubbing and submission
    • Perform other related duties as assigned

    Required Skills/Abilities:

    • High school diploma or equivalent
    • Two years of experience in a fast-paced, administrative role
    • Excellent written and verbal communication
    • Experience in a healthcare setting
    • Highly organized with the ability to multi-task
    • Strong attention to detail
    • Proficiency with Microsoft Office
    • Solid problem solving and time management skills
    • Ability to maintain confidentiality when handling sensitive, confidential information

    Preferred Skills/Abilities:

    • Bachelor’s degree in related field
    • Four years of experience in a fast-paced, administrative role

    Physical Requirements:

    • Prolonged periods of sitting at a desk and working on a computer, typically in a cubicle environment (constant noise, fluorescent overhead lighting)
    • Able to wear headset for duration of shift

    Our centers are consistent with CDC guidelines and align with local government orders pertaining to all Company physical locations in relation to COVID-19.

    Equal Employment Opportunity (EEO) is a fundamental principle at HealthPlanOne, where employment is based upon personal capabilities and qualifications. HealthPlanOne does not discriminate because of actual or perceived sex, sexual orientation or preference, gender identity, gender, transgender, race, color, religion, national origin, creed, citizenship status, ancestry, age, marital status, pregnancy, childbirth or related medical conditions, medical conditions including genetic characteristics, mental or physical disability, military and veteran status, or any other protected characteristic as established by law. HealthPlanOne requires the necessary drug testing and background checks as part of our pre-employment practices.

    Job Type: Full-time

    Benefits:

    • Dental insurance
    • Health insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work Location: Hybrid remote in Trumbull, CT 06611

  • 1 Day Ago

M
Stretch Provider
  • Massage Envy
  • Shelton, CT OTHER
  • Overview Where Better Careers Begin!Massage Envy - Shelton: 110 Commerce Dr. Suite 112, Shelton, CT 06484 Are you ready to use your bodywork skills in a whole new way? Combine your skills with massage...
  • 10 Days Ago

T
Childcare Provider (FA)
  • THE EDGE FITNESS CLUBS
  • Fairfield, CT PART_TIME
  • Do you like kids? Do you like high energy activities? Then you'll love being an Edge Kid's Coach! Our Edge Kids Programming along with Coach's attention, enthusiasm and creativity sets the Edge apart....
  • 2 Days Ago

T
Personal Care Provider
  • Talem Home Care - New Haven
  • Fairfield, CT FULL_TIME
  • Benefits: Flexible schedule Paid time off Wellness resources Benefits/Perks Flexible Schedule Weekly pay Direct Deposit Opportunity for Paid Time Off Discount Programs Insurance Medical Dental Vision ...
  • 4 Days Ago

T
Personal Care Provider
  • Talem Home Care - New Haven
  • Shelton, CT FULL_TIME
  • Benefits/Perks Flexible Schedule Weekly pay Direct Deposit Opportunity for Paid Time Off Discount Programs Insurance Medical Dental Vision Warm, Friendly, Pressure-Free Environment Company Overview Ta...
  • 4 Days Ago

T
Childcare Provider (ST)
  • THE EDGE FITNESS CLUBS
  • Stratford, CT PART_TIME
  • Do you like kids? Do you like high energy activities? Then you'll love being an Edge Kid's Coach! Our Edge Kids Programming along with Coach's attention, enthusiasm and creativity sets the Edge apart....
  • 20 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Provider Contracting Director jobs found in Bridgeport, CT area

M
Primary Care Provider
  • MLB Transportation Resources Inc.
  • Danbury, CT
  • About the job Primary Care Provider PRIMARY CARE PROVIDER Job Description: The Primary Care Provider is responsible for ...
  • 4/18/2024 12:00:00 AM

N
Financial Sales Representative (Training Provided)
  • Northwestern Mutual
  • Norwalk, CT
  • Join our growing team.. Our Norwalk, CT firm is seeking professionals to join our growing practice. Our financial repres...
  • 4/17/2024 12:00:00 AM

O
Nurse Practitioner - Advanced Practice Provider
  • Oak Street Health
  • Bridgeport, CT
  • Description Title: Nurse Practitioner - Advanced Practice Provider Schedule: Full-Time, Monday through Friday, 8:00 AM -...
  • 4/17/2024 12:00:00 AM

T
Childcare Provider (SH)
  • The Edge Fitness Clubs
  • Shelton, CT
  • Job Description Do you like kids? Do you like high energy activities? Then you'll love being an Edge Kid's Coach! Our Ed...
  • 4/16/2024 12:00:00 AM

T
Advanced Practice Provider
  • TIMOTHY D GROTH MD PC
  • Centereach, NY
  • Job Description Job Description Benefits: 401(k) 401(k) matching Competitive salary Health insurance Paid time off Timot...
  • 4/15/2024 12:00:00 AM

T
Childcare Provider (DE)
  • The Edge Fitness Clubs
  • Derby, CT
  • Job Description Do you like kids? Do you like high energy activities? Then you'll love being an Edge Kid's Coach! Our Ed...
  • 4/15/2024 12:00:00 AM

N
Financial Sales Representative (Training Provided)
  • Northwestern Mutual - Norwalk, CT
  • Norwalk, CT
  • Job Description Job Description Join our growing team - Fairfield County (Norwalk, CT) affiliated with our Park Avenue l...
  • 4/15/2024 12:00:00 AM

T
Advanced Practice Provider
  • TIMOTHY D GROTH MD PC
  • Centereach, NY
  • Job Description Job Description Timothy Groth MD PC is looking to add an Advanced Practice Provider (APP) to our growing...
  • 4/14/2024 12:00:00 AM

Bridgeport is a historic seaport city in the U.S. state of Connecticut. It is in Fairfield County, at the mouth of the Pequonnock River on Long Island Sound, 60 miles from Manhattan and 40 miles from The Bronx. It is bordered by the towns of Trumbull to the north, Fairfield to the west, and Stratford to the east. As of 2017, Bridgeport had an estimated population of 146,579, which made it the largest city in Connecticut and the fifth-most populous in New England. The Greater Bridgeport area is the 48th-largest urban area in the United States. The showman P. T. Barnum was a resident of the cit...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$195,461 to $282,297
Bridgeport, Connecticut area prices
were up 1.7% from a year ago

Provider Contracting Director in Modesto, CA
Learn more about our provider networks and the members our networks support.
December 17, 2019
Provider Contracting Director in Lafayette, LA
Informal Provider - Cares for children who are related to them and possibly children from one other family.
January 14, 2020
Provider Contracting Director in Battle Creek, MI
New care delivery models, complex regulations and narrowing provider networks have significantly altered the provider contract management process.
January 11, 2020