Network Manager/Contract Specialist
The Judge Group Inc.
Job Info
Location: REMOTE
Description: Our client is currently seeking a Network Manager/Contract Specialist.
Duration: Contract - 6 months
Location: 100% Remote
Responsibilities:
- Review and track providers to confirm and validate participation in the Medicaid health plan network with a focus on meeting a day TAT
- Research and perform an evaluation of provider and facility contracts
- Review claims and other provider documents to support a provider contract audit to validate participation in a Medicaid Network
- Candidate should have understanding of provider contracts with health plans, understanding of provider types
- Previous experience negotiating the contract and/or provider contract configuration for a health plan will provide strong foundation of this work
- Attention to detail
- Able to work based on production with high level of accountability for work completed per day (i.e. number of providers reviewed for the audit per day)
- Strong computer skills including ability to navigate contract systems and SharePoint
Contact: tmangal@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
This job has expired.
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