Provider Contracting Director jobs in New York

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, Provider Network Development & Contracting
  • WelbeHealth
  • Brooklyn, NY FULL_TIME
  • At WelbeHealth, we’re transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population while serving as a care provider and care plan to those we serve.

    Through the PACE program, our Health Plan Services team is ensuring our seniors receive top quality clinical care so that they can age well and live independently in their communities. Our Director, Network Development & Contracting will provide leadership, vision, and oversight to ensure a robust network of value-based providers in our existing and future markets to best serve our participants’ intricate care needs.

    This is a remote position with up to 30% travel. 

    Essential Job Duties:

    · Regularly assess and meet participant needs for provider contracts across PACE programs in WelbeHealth and help build specialty-based provider network in New York, New Jersey, and California

    · Serve as subject matter expert in negotiating optimal rates within Medi-Cal/Medicare and value-based environments across varying methodologies (specialties, hospitals, ancillaries, skilled nursing facilities, nonstandard PACE providers)

    · Build and better internal cross-functional processes across Health Plan Services to ensure successful post-contract implementation

    · Establish transformative relationships with contracted partners, ensuring partner satisfaction and mission alignment

    Job Requirements:

    · Minimum of seven (7) years of experience in contract negotiation, managed care, healthcare administration with at least three (3) years of direct experience in contracting required

    · Two (2) years of supervisory experience with demonstrated aptitude to mentor and develop team members

    · Knowledge of how to assess and oversee contracting across varying regulatory environments and requirements

    · Bachelor’s degree preferred, or additional four (4) years of experience in lieu of education

    Benefits of Working at WelbeHealth: Apply your value-based contracting expertise in meaningful ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.

    · Medical insurance coverage (Medical, Dental, Vision) starting day one of employment

    · Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time

    · Advancement opportunities - We’ve got a track record of hiring and promoting from within, meaning you can create your own path!

    · And additional benefits

     

    Salary/Wage base range for this role is $159,939.07 to $180,000.00 annually Bonus Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits.  Actual pay will be adjusted based on experience and other qualifications.

  • 18 Days Ago

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Director Contracting Services
  • Metropolitan Transportation Authority
  • New York, NY FULL_TIME
  • Description Position at MTA Construction & Development This position is eligible for telework which is currently one day per week. New hires are eligible to apply 30 days after their effective date of...
  • 19 Days Ago

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Assistant Director Contracting Services
  • Metropolitan Transportation Authority
  • New York, NY FULL_TIME
  • Description Position at MTA Construction & Development This position is eligible for telework which is currently one day per week. New hires are eligible to apply 30 days after their effective date of...
  • 19 Days Ago

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Director, Network Development and Contracting
  • VNS Health
  • Manhattan, NY FULL_TIME
  • OverviewOversees the development and implementation of VNS Health's Health Plan Physician, Ancillary, Hospital provider networks. Includes contracting, rate setting, monitoring for and maintaining net...
  • 23 Days Ago

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Director of Managed Care Contracting
  • Centers Health Care
  • Bronx, NY FULL_TIME
  • Centers Health Care is looking for a Director of Managed Care Contracting. Rosponsibilities: Developing, implementating, and coordinating of managed care contracting and related activities for Centers...
  • 24 Days Ago

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Director of Diversity Contracting
  • Battery Park City Authority
  • New York, NY FULL_TIME
  • Education and Experience: A Bachelor’s Degree, in Public Policy, Public Administration, Business Management, or other related fields is required and should be supplemented by a minimum of seven (7) ye...
  • 2 Days Ago

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Logistics Provisioner Army Project
  • Conley & Associates, Inc
  • Harvey, LA
  • Job Description Job Description Job Description: Work in Powerlog creating a database as directed. Screen parts and comp...
  • 3/28/2024 12:00:00 AM

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Assistant Accountant (Provisional)
  • City of Buffalo, NY
  • Buffalo, NY
  • An incumbent to a position in this class performs professional accounting work of more than ordinary difficulty in maint...
  • 3/28/2024 12:00:00 AM

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Provisional Licensed Counselor
  • Christian Wellness Center Of NJ LLC
  • Somerset, NJ
  • Job Description Job Description Duties/Responsibilities: • Provide counseling for clients and patients, individually and...
  • 3/28/2024 12:00:00 AM

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Provisionally Licensed Clinician, LAC, LSW
  • Human Institute
  • Totowa, NJ
  • HUMAN INSTITUTE PSYCHOLOGY AND THERAPY Provisionally Licensed Clinician, LAC, LSW $35 to $45/hr Full-time or Part-time C...
  • 3/28/2024 12:00:00 AM

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Payroll Specialist (Provisional) CBO
  • Wayne-Finger Lakes BOCES
  • Newark, NY
  • Regional Support Center - Central Business Office $48,000-$60,000 This is a competitive position. Must meet requirements...
  • 3/27/2024 12:00:00 AM

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Clerk, Bilingual (Spanish) Provisional 10/23
  • Inc. Village of Hempstead
  • Hempstead, NY
  • The Village of Hempstead is seeking a candidate to be the Front Desk Receptionist who will provide information to the pu...
  • 3/27/2024 12:00:00 AM

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CNA/LPN On-call Provisional
  • College of St Benedict/St Johns University
  • Collegeville, MN
  • Position Summary Saint John's Abbey invites applications for the on-call positions of CNA and LPN in the Abbey Retiremen...
  • 3/24/2024 12:00:00 AM

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Licensed Psychotherapist ( Provisional or Fully Licensed)
  • Clinical Counseling and Consulting
  • Fayetteville, NC
  • Job Description Job Description We are seeking a Licensed Psychotherapist ( Provisional Or Fully Licensed) to join our t...
  • 3/24/2024 12:00:00 AM

New York is a state in the Northeastern United States. New York was one of the original thirteen colonies that formed the United States. New York covers 54,555 square miles (141,300 km2) and ranks as the 27th largest state by size.[3] The highest elevation in New York is Mount Marcy in the Adirondacks, at 5,344 feet (1,629 meters) above sea level; while the state's lowest point is at sea level, on the Atlantic Ocean. In contrast with New York City's urban landscape, the vast majority of the state's geographic area is dominated by meadows, forests, rivers, farms, mountains, and lakes. Most of...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$183,674 to $265,275

Provider Contracting Director in New Suffolk, NY
The partners expect that their efforts toward greater collaboration between mutuelles and private providers will contribute to greater financial risk protection of covered citizens and support access to universal health coverage.
January 02, 2020
Provider Contracting Director in Vincennes, IN
The provider of services can choose how to perform the service.
January 27, 2020
Provider Contracting Director in Wichita Falls, TX
The Credentialing Committee is chaired by our Medical Director and they give the final determination if a provider meets our credentialing criteria.
December 05, 2019