Provider Contracting Director jobs in Conway, AR

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)

A
Care Coordinator
  • Arkansas Provider Coalition, LLC
  • Little Rock, AR FULL_TIME
  • POSITION SUMMARY:

    Develops, implements, and monitors the person-centered Total Plan of Care (TPOC) for assigned members with behavioral health needs, developmental/intellectual disabilities, and/or substance use disorders, and other special populations; works closely with members, their families/guardians, their providers, and other members of their circle of support, to ensure the member is receiving the most appropriate care while addressing barriers to access to healthcare.

     

    ESSENTIAL JOB FUNCTIONS:

     

    1. Develops, documents, evaluates, monitors, and modifies the assigned members’ person-centered Total Plan of Care (TPOC) on an ongoing basis, including member choices; the care plan may include, but is not limited to, the following areas of service: Behavioral Health, Community Resources, Crisis Safety, IDD/Waiver, Financial Information, Mental Health, Physical Health, and Substance Abuse.

     

    2. Ensures that members’ health, safety, and service needs are met by working directly with the individual members, their families/guardians, their providers, and other members of their circle of support.

     

    1. Maintains contact to discuss care plans with members, families/guardians, providers, community resources, stakeholders, and other professionals; visits in person, by telephone, and virtually, utilizing a company-provided laptop with communication and database software applications.

     

    1. Documents work activities and member information into the electronic medical records system (EMR) in a timely manner according to APC policies regarding documentation.

     

    1. Develops and maintains electronic records within the databases utilized in the organization, including EMR.

     

    1. Answers questions and provides information over the telephone, email, and in person; answers and assists callers via telephone calls, utilizing a company-provided cellular telephone.

     

    1. Coordinates and schedules appointments, meetings, and travel, for self; manages one’s own electronic calendar utilizing Microsoft Outlook.

     

    1. Maintains confidentiality of member personal and medical information; limits such information on a strict “need-to-know” basis.

     

    1. Promotes individual and organizational continuous learning and performance improvement by modeling own self-directed professional development and remaining current on methods, tools, and resources needed to improve job performance; demonstrates that new learning gained from professional development is incorporated into practice.

     

    1. Maintains the confidentiality and integrity of Arkansas Provider Coalition at all times, complying with The Health Insurance Portability and Accountability Act (HIPAA) and Arkansas Provider Coalition policies.

     

    1. Maintains compliance with Conflict-Free Case Management rules, as well as all applicable rules and regulations within the Arkansas PASSE Medicaid Provider Manual, Section II, 240.000, the Arkansas PASSE Care Coordination Agreement, Arkansas Insurance Department, Arkansas Medicaid, and other applicable Medicaid Manuals and updates.

     

    1. Operates a company-issued laptop computer with Microsoft Office/Microsoft 365 suite products, Microsoft Teams, and other communication and database software in the performance of essential job functions.

     

    1. Operates a personal automobile in the performance of essential job functions for travel to meetings, members’ homes, provider offices, conferences, and training.

     

    SECONDARY DUTIES AND RESPONSIBILITIES:

     

    1. Performs other related duties as assigned.

     

  • 2 Days Ago

M
Heavy Equipment Mechanic
  • McGeorge Contracting
  • Bauxite, AR FULL_TIME
  • Job Description As a Heavy Equipment Mechanic the employee performs a full range of maintenance, repair and service activities on heavy equipment. Troubleshoots malfunctions in the equipment and repai...
  • 21 Days Ago

M
Oiler
  • McGeorge Contracting
  • Bauxite, AR FULL_TIME
  • Job Description This position fuels and oils heavy earth moving equipment at various job sites around Arkansas. This person drives an oil truck and must have CDL with Hazmat endorsement. Typical work ...
  • 21 Days Ago

M
Safety coordinator
  • McGeorge Contracting
  • Little Rock, AR FULL_TIME
  • Job Description The ideal candidate will help ensure that McGeorge promotes a culture where people and safety are a priority in the workplace. Primary responsibilities will be preparing and processing...
  • 22 Days Ago

M
Concrete Form Setter
  • McGeorge Contracting
  • Maumelle, AR FULL_TIME
  • Job Description Job Description Job Description Works as part of a concrete crew setting forms for curbs and gutters. May operate a variety of hand tools as well as some equipment. Typical work condit...
  • 22 Days Ago

M
Project Engineer
  • McGeorge Contracting
  • Little Rock, AR FULL_TIME
  • Job Description McGeorge Contracting is looking for a skilled person to join the firm as a Project Engineer for our Civil-Infrastructure Division office in Little Rock, Arkansas. The ideal candidate w...
  • 23 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Provider Contracting Director jobs found in Conway, AR area

A
Qualified Behavioral Health Provider (QBHP)
  • Apex Staffing, Inc.
  • Little Rock, AR
  • Are you ready to step into a role where your passion meets purpose? Look no further than our team in Little Rock, AR! We...
  • 3/28/2024 12:00:00 AM

J
Travel LPN (Licensed Practical Nurse) - Little Rock, AR ($35 an Hour With Housing Provided!)
  • Jedy Network
  • Little Rock, AR
  • Jedy Network - Travel LPN (Licensed Practical Nurse) LIttle Rock, AR ($35 an Hour With Housing Provided!) Jedy Network i...
  • 3/28/2024 12:00:00 AM

L
Binstocking agent - Retirees Welcome
  • Lightning Bolt
  • Conway, AR
  • Job Title: Binstocking agent Starting Pay: $25+/hr RETIREES WELCOME TO APPLY Hours: VERY Flexible (but, must be performe...
  • 3/28/2024 12:00:00 AM

D
Crew Member
  • DND Groups, Inc.
  • Maumelle, AR
  • DND Groups is a privately held franchise management company and home to more than 54 quick services restaurants nationwi...
  • 3/28/2024 12:00:00 AM

W
Specialty Team Member (Beer, Wine, Cheese & Chocolate) - Part Time
  • Whole Foods Market Inc.
  • Little Rock, AR
  • **NYC CANDIDATES:** As mandated by New York City any New Member hired or Team Member transferring into NYC locations mus...
  • 3/28/2024 12:00:00 AM

R
Substitute Nurse Pool - Founders Classical Academy of Prosper
  • ResponsiveEd
  • Little Rock, AR
  • Position Summary: Provides preventative health services to facilitate the student's optimal physical, mental, emotional ...
  • 3/27/2024 12:00:00 AM

M
Early morning (3/5 AM's) Truck Team Member
  • Michaels Stores
  • North Little Rock, AR
  • Early morning (3/5 AM's) Truck Team Member page is loaded **Early morning (3/5 AM's) Truck Team Member** **Early morning...
  • 3/27/2024 12:00:00 AM

U
HR Specialist - HCM
  • University of Arkansas System
  • Little Rock, AR
  • Current University of Arkansas System employees including student employees and graduate assistants need to log into Wor...
  • 3/26/2024 12:00:00 AM

Conway is a city in the U.S. state of Arkansas and the county seat of Faulkner County, located in the state's most populous Metropolitan Statistical Area, Central Arkansas. Conway is unusual in that the majority of its residents do not commute out of the city to work. The city also serves as a regional shopping, educational, work, healthcare, sports, and cultural hub for Faulkner County and surrounding areas. Conway's growth can be attributed to its jobs in technology and higher education with its largest employers being Acxiom, the University of Central Arkansas, Hewlett Packard, Hendrix Coll...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$157,394 to $227,319
Conway, Arkansas area prices
were up 1.2% 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