Provider Contracting Director jobs in Lawton, OK

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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Director, Contracting
  • JobRapido
  • lawton, OK FULL_TIME
  • 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.

    Oklahoma Complete Health, a Centene company, is committed to providing quality healthcare solutions to transform the health of Oklahomans.
    At Oklahoma Complete Health, we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development. Join us and be a part of a collaborative, growing network of innovative thinkers delivering solutions at the local level.

    ***Must Reside in Oklahoma***

    Position Purpose: Coordinate, negotiate and handle activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures. Negotiate large hospital, physician groups and ancillary service agreements in accordance with Corporate, health plan and government regulations and guidelines.

    • Oversee provider contracting activities to ensure efficiency and maintain compliance with Company policies and standards, government laws and regulations
    • Negotiate contracts with hospitals, physician groups and ancillary service agreements
    • Develop and implement a network development plan for the assigned region and set of providers and identify and initiate contact with potential providers in support of the Company’s strategic goals and objectives
    • Effectively integrate new programs and strategies to reach per member per month targets, and provide oversight to the provider set •up and contract configuration in the computer system to ensure accurate claims adjudication
    • Perform basic financial analyses to identify medical cost improvement opportunities, develop strategies to reach financial goals, and execute contracting strategies to meet goals and objectives
    • Evaluate and monitor providers’ performance standards and financial performance of contracts

    Education/Experience: Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 5 years of related experience negotiating hospital, large physician groups and ancillary service agreements and external customer service for providers. Experience in marketing/sales, medical economics in a managed care or insurance environment. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Experience in provider network management, Medicaid/Medicare contracting, and/or claims processing preferred.
    License/Certification: Valid driver's license


    Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.


    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.


    About the Company:
    JobRapido



  • 1 Month Ago

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Director, Contracting
  • Oklahoma Complete Health
  • LAWTON, OK FULL_TIME
  • 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 hav...
  • 1 Month Ago

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Contract Specialist
  • U.S. Army Contracting Command
  • Fort Sill, OK FULL_TIME
  • Please limit your resume to 5 pages. If more than 5 pages are submitted, only the first 5 pages will be reviewed to determine your eligibility/qualifications. About the Position: Serves as Contracting...
  • 16 Days Ago

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Procurement Analyst
  • U.S. Army Contracting Command
  • Fort Sill, OK FULL_TIME
  • Please limit your resume to 5 pages. If more than 5 pages are submitted, only the first 5 pages will be reviewed to determine your eligibility/qualifications. About the Position: Procurement Analyst r...
  • 16 Days Ago

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Family Support Provider
  • LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
  • Ardmore, OK OTHER
  • Job Details Job Location: Ardmore Building C - Ardmore, OK Salary Range: $21.00 - $21.00 Hourly Job Shift: Day Job DescriptionA Lighthouse is needed to help guide the way; to emit a light that helps n...
  • 25 Days Ago

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Advanced Practice Provider
  • Xpress Wellness Urgent Care
  • Weatherford, OK FULL_TIME
  • Xpress Wellness Urgent Care is seeking an Advanced Practice Provider (Nurse Practitioner and/or Physician Assistant) to join our team of healthcare professionals. As an Advanced Practice Provider, you...
  • 8 Days Ago

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0 Provider Contracting Director jobs found in Lawton, OK area

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Crew Member
  • Sonic Drive-In
  • Lawton, OK
  • 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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Crew Member
  • Sonic Drive-In
  • Medicine Park, OK
  • 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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Travel Registered Nurse RN Medical Surgical
  • Onestaff Medical
  • Lawton, OK
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready ...
  • 3/29/2024 12:00:00 AM

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Nurse Practitioner Partner for Local Primary Care or Specialty
  • TRIAD MSO
  • Lawton, OK
  • Job Title: Nurse Practitioner Job Category: PRIMARY CARE OR SPECIALTY Department/Group: TRIAD COMPLETE HEALTHCARE Travel...
  • 3/28/2024 12:00:00 AM

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FT Inbound Phone Support Agent - Work From Home>
  • Signpost
  • Lawton, OK
  • [Call Center / Fully Remote] - Anywhere in U.S. / $17+ per hour / Health, dental, and vision / 401k / PTO / Equipment pr...
  • 3/28/2024 12:00:00 AM

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PT in Waurika, OK
  • Health Providers Choice
  • Waurika, OK
  • DESCRIPTION PT PT Must have at least 2 years of recent experience in specialty applying for. American Heart Association ...
  • 3/25/2024 12:00:00 AM

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Certified Registered Nurse Anesthetist (CRNA) - Lawton
  • Numunu Staffing LLC
  • Lawton, OK
  • The Certified Registered Nurse Anesthetist (CRNA) performs the following: Documents a pre-anesthetic assessment and eval...
  • 3/25/2024 12:00:00 AM

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Smart Maintenance Agent - Work From Home>
  • AppFolio
  • Lawton, OK
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $22 per hour / Health benefits / 401k matching / PTO - As a...
  • 3/25/2024 12:00:00 AM

Lawton is the fifth largest city in Oklahoma, located at 34°36′16″N 98°23′45″W / 34.60444°N 98.39583°W / 34.60444; -98.39583 (34.604444 N, 98.395833 W). The city has a total area of 75.1 sq mi (195 km2), all land. Lawton is located approximately 84 mi (135 km) southwest of Oklahoma City. Other surrounding cities include Wichita Falls about 47 mi (76 km) to the south, Duncan about 33 mi (53 km) to the east, and Altus about 56 mi (90 km) to the west. Lawton lies in an area typical of the Great Plains, with prairie, few trees, and flat topography with gently rolling hills. The region north of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$146,478 to $211,553
Lawton, Oklahoma area prices
were up 1.2% from a year ago

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