Provider Contracting Manager jobs in Georgia

Provider Contracting Manager manages the activities of the contracting staff that prepare and maintain contracts and the contracts database system for a health plan network. Responsible for negotiating with facilities joining the health network and setting rates. Being a Provider Contracting Manager oversees network reporting requirements to ensure compliance with regulatory agencies, and to produce accurate and relevant reporting of data. Trains and develops staff. Additionally, Provider Contracting Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Provider Contracting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Provider Contracting Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Provider Relations and Network Contracting
  • Trek Healthcare, LLC
  • Atlanta, GA FULL_TIME
  • Description

    Provider Relations and Network Contracting develops the provider network through contract negotiations, relationship development, and servicing for affiliated physician groups. Primary focus of this role is identifying and recruiting providers based on network composition and needs. Deals with affiliated providers and drives and supports value base initiatives.

    The role evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with Physician providers and ensuring the network composition includes an appropriate distribution of providers.

    Responsibilities

    • Evaluate, understand, and negotiate provider contracts in compliance with company templates, reimbursement structure standards and other key process controls
    • Establish and maintain strong business relationships with assigned providers and internal partners
    • Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
    • May assist with identifying and recruiting providers based on network composition and needs.

    Required qualifications:

    • Experience and accustomed to building brand new networks
    • Experience with direct provider contracting.
    • Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.
    • Experience in developing and managing key provider relationships

    Job Type: Full-time

    Pay: $60,000.00 - $75,000.00 per year

    Benefits:

    • Paid time off

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Ability to Relocate:

    • Atlanta, GA: Relocate before starting work (Required)

    Work Location: In person

  • 21 Days Ago

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VP, Contracting & Provider Services
  • Emory Healthcare
  • Atlanta, GA FULL_TIME
  • Description The Vice President, Contract & Provider Services plans, directs, and monitors the day to day operations of the department and staff, escalating issues to Chief Market Services Officer as a...
  • 28 Days Ago

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Electrical Contracting - General Manager
  • Buy and Build Advisors
  • Greensboro, GA FULL_TIME
  • Our company is assisting in hiring a vibrant, dynamic, and driven General Manager for our fast-growing Electrical Contracting business. This is an exciting opportunity to use your skills and experienc...
  • 3 Days Ago

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General Contracting Project Manager
  • Ensign Building Solutions
  • Cumming, GA FULL_TIME
  • Fast-growing construction company looking for an experienced Project Manager who can perform estimating and assist in managing projects through to completion.For the right individual, we offer a compe...
  • 17 Days Ago

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Commercial Construction Project Manager
  • Scott Contracting
  • Suwanee, GA FULL_TIME
  • Commercial General Contractor seeks a qualified Sales / Marketing / Project Manager for a construction company specializing in Class A Commercial Office Interiors, Industrial Interiors, Medical, Denta...
  • 21 Days Ago

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Commercial Construction Assistant Project Manager
  • Scott Contracting
  • Suwanee, GA FULL_TIME
  • Commercial General Contractor seeks a qualified Assistant Project Manager for a construction company specializing in Class A Commercial Office Interiors, Industrial Interiors, Medical, Dental, Retail ...
  • 13 Days Ago

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Contract Manager - Contracts & Technology Legal
  • The Travelers Indemnity Company
  • New York, NY
  • Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this...
  • 3/28/2024 12:00:00 AM

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Contracts Manager / Senior Contracts Manager
  • Cymabay Therapeutics
  • Newark, CA
  • We are searching for a Contracts Manager / Senior Contracts Manager to join our legal department. The candidate will nee...
  • 3/27/2024 12:00:00 AM

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Provider Contracts Manager
  • Molina Healthcare
  • Rochester, NY
  • ***Remote and must live in New York*** Job Description Job Summary Molina Health Plan Provider Network Contracting jobs ...
  • 3/25/2024 12:00:00 AM

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Contract Manager
  • CyrusOne
  • The Contract Manager will assist in the management of all third party or outsourced vendors with a specific concentratio...
  • 3/25/2024 12:00:00 AM

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Contract Manager
  • Accede Solutions, Inc.
  • Carbondale, IL
  • Duration: 1 year Mon - Thu Responsibilities: Negotiate contracts with vendors, suppliers, and service providers to ensur...
  • 3/25/2024 12:00:00 AM

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Provider Contracting Manager | Bay Area
  • Selby Jennings
  • Overview Our client, a large health insurance agency, is seeking a skilled Provider Contracting Manager to oversee the n...
  • 3/24/2024 12:00:00 AM

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Contract Manager
  • VieMed
  • Lafayette, LA
  • Essential Duties and Responsibilities Maintain catalog of approved vendors for VieMed. Ensure all stages of the vendor o...
  • 3/24/2024 12:00:00 AM

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Contract Manager
  • MbSolutions, Inc.
  • Fort Belvoir, VA
  • Contract Manager: Education: Minimum of a bachelor's degree. Qualifications: Minimum of eight years of Army Force Manage...
  • 3/24/2024 12:00:00 AM

Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989. The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Manager jobs
$105,705 to $140,376

Provider Contracting Manager in Gastonia, NC
By simplifying and automating the provider contracting lifecycle, we help make it easier for health plans to identify and implement savings opportunities to obtain maximum value from provider relationships.
January 09, 2020
Provider Contracting Manager in Springfield, IL
Responsible for the oversight of their assigned networks to ensure network provider deficiencies are being met and working closely with their assigned Network Support staff and Medical Management counterparts to ensure network needs/changes are being effectively addressed and communicated both internally and externally.
January 19, 2020
Provider Contracting Manager in Cedar Rapids, IA
New care delivery models, complex regulations and narrowing provider networks have significantly altered the provider contract management process.
February 03, 2020