Provider Contracting Director jobs in Jacksonville, 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)

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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.

     

  • 3 Days Ago

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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...
  • 22 Days Ago

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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 ...
  • Just Posted

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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...
  • 23 Days Ago

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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...
  • 23 Days Ago

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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...
  • 24 Days Ago

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0 Provider Contracting Director jobs found in Jacksonville, AR area

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Interested in daycare providers near
  • Wyndy.com, Inc.
  • Conway, AR
  • A poised daycare provider near 72034 with a passion for nurturing and aiding children's development. Skilled in maintain...
  • 3/29/2024 12:00:00 AM

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Registered Nursing- RN - Long Term Care/Skilled Nursing Facility (Nether Providence, PA)
  • Careerstaff Unlimited
  • Little Rock, AR
  • Registered Nursing- RN - Long Term Care/Skilled Nursing Facility Invest in your future by discovering a facility inWalli...
  • 3/29/2024 12:00:00 AM

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Crew Member
  • Sonic Drive-In
  • North Little Rock, AR
  • Description: Fun. Flexible hours. Great pay. Fantastic people. Professional fulfillment. That uniquely cool SONIC unifor...
  • 3/29/2024 12:00:00 AM

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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

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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

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Crew Member
  • DND Groups, Inc.
  • Jacksonville, 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

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Crew Member
  • DND Groups, Inc.
  • Sherwood, 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

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Team Member Sherwood, AR 8611 Highway 107 Unit 110 72120
  • Pizza Hut Shop
  • Sherwood, AR
  • 8611 Highway 107 Unit 110 **Sherwood, AR 72120** **Team Member** **Description:** That's right, working at Pizza Hut as ...
  • 3/28/2024 12:00:00 AM

Jacksonville is a city in Pulaski County, Arkansas, United States, and a suburb of Little Rock. As of the 2010 census, the population of the city was 28,364. It is part of the Little Rock–North Little Rock–Conway Metropolitan Statistical Area with 729,135 people as of 2014. The city is named for Nicholas Jackson, a landowner who deeded the land for the railroad right-of-way to the Cairo & Fulton Railroad in 1870. The community evolved from the settlement surrounding the railroad depot, eventually incorporating in 1941. In 1941, construction began on the Arkansas Ordnance Plant (AOP), which ser...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$158,736 to $229,258
Jacksonville, Arkansas area prices
were up 1.2% from a year ago

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