Prime Health Services: Provides healthcare cost containment and PPO network solutions.
1+ YOEBachelor's or equivalent experience,1+ year healthcare/managed care or provider contracting experience,strong communication and negotiation skills,Microsoft Office proficiency,analytical and deadline-driven.
Microsoft Excel, Microsoft Word, Microsoft Outlook
SCP Health: Provides clinical staffing and management for healthcare facilities.
Draft and revise clinician agreements, ensure accurate contract data entry, coordinate with providers and attorneys, strong written/verbal communication, attention to detail, organization, and independent work.
University of Utah Health: Provides academic medical care and health services.
3+ YOEBachelor's degree (Business/Health Care Administration/Accounting/Nursing or equivalent),3 years healthcare or health insurance experience,knowledge of provider contracting,reimbursement analysis,and healthcare billing;ICD9/CPT knowledge preferred.
CBS Medical Billing and Consulting: Provides outsourced medical billing and revenue cycle management services.
Experience in healthcare contracting, payer negotiations, revenue cycle or operations; strong project management, communication, analytical skills; proficiency with Microsoft Excel, Google Workspace, and CRM tools; able to work independently in a remote environment.
CareSource: Provides public health insurance plans and care management services.
2+ YOEBachelor's degree or equivalent experience, 2+ years in healthcare reimbursement/provider contracting or claims analysis, proficiency in SQL and Python, experience with Power BI/Tableau, and strong analytical and communication skills.
Astrana HealthNASDAQ: ASTH: Operates technology-powered platforms to coordinate and deliver medical care.
10+ YOE10+ years contracting experience; master’s or bachelor’s or equivalent experience preferred; expertise in managed care contracts, financial analysis, compliance, delegated network operations, and executive communication.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, EZ-Cap
Livingston HealthCare: Provides critical access hospital care and multispecialty medical services.
1+ YOE1+ years healthcare contracting or related experience, knowledge of reimbursement and compliance, strong analytical and communication skills, proficiency with Microsoft Excel and Word, experience with contract management systems preferred.
Health Care Service Corporation: Provides health insurance and managed care to millions of members.
10+ YOE4+ MgmtBachelor’s degree and 10 years health care or health insurance experience including 4 years contract administration and provider relations; or 14 years health care/insurance with 4 years contract administration and provider relations; 4 years management experience; strong reimbursement, negotiation, financial, and leadership skills.
Enlyte: Providing technology and clinical services for insurance claims management.
5+ YOEBachelor's or equivalent experience; 5+ years provider contracting/managed care experience; strong negotiation, financial modeling, and Microsoft Office (Excel, Word, PowerPoint) skills.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint
Corvallis or Alabama or Alaska or Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maryland or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Rhode Island or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
Samaritan Health Services: Operates a regional network of non-profit hospitals and clinics.
4+ YOEBachelor's or equivalent,4 years progressive provider contracting experience across Medicaid, Medicare Advantage and Commercial; expert reimbursement and value-based payment design; advanced Excel and negotiation skills.
Colorado Access: Provides managed care and health insurance for Medicaid members.
7+ YOE5+ MgmtBachelor's degree (or equivalent experience) required; minimum 7 years provider contracting experience with 5 years management; strong negotiation, project and people management skills; proficiency with Microsoft Word, Excel, PowerPoint.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Renton or Burlington or Tacoma or Spokane or Vancouver
$79k-$155k/yrHybridFull Time
Cambia Health Solutions: Non-profit health solutions providing insurance and care services.
5+ YOEBachelor's in healthcare or business and 5+ years (Executive) or 7+ years (Senior) provider contracting/relations or analytical experience; strong negotiation, payment methodology, data analysis, and leadership skills.
Provider Contracting Manager - Cigna Healthcare - Seattle, WA
Seattle or Washington or United States or Alabama or Alaska or Arizona or Arkansas or Delaware or Florida or Georgia or Hawaii or Idaho or Iowa or Kansas or Maryland or Massachusetts or Michigan or Nebraska or Ohio or Pennsylvania or Texas or Utah or Vermont
$106k-$177k/yrHybridFull Time
The Cigna GroupNYSE: CI: Provides health insurance and pharmacy benefit management services.
3+ YOE3+ years provider contracting experience in managed care/commercial contracting, proven leadership, strong provider relationship management, knowledge of reimbursement methodologies, negotiation and financial analysis, and Microsoft Office proficiency.
Group Health Cooperative of South Central Wisconsin: A member-owned cooperative providing health insurance and clinical medical services.
Associate’s or Bachelor’s in business/healthcare admin; credentialing certificate preferred; able to interpret contracts; strong Microsoft Office; excellent communication; multi-project delivery; knowledge of NCQA/JCHCO; HIPAA knowledge.
Microsoft Office, Electronic time and attendance systems
CenCal Health: Provides Medi-Cal managed care plans for Central Coast residents.
5+ YOEBachelor's degree in a related field and 5+ years healthcare financial analysis (3+ years reimbursement/contract analysis). Advanced SQL and Microsoft Excel skills, knowledge of Medicaid/Medicare reimbursement and value-based models, strong analytical and communication skills.
Group Health Cooperative of South Central Wisconsin: Provides integrated health insurance and clinical medical services.
Associate’s or Bachelor’s in business/healthcare administration or related field; ability to understand contract language; credentialing certification preferred; NCQA/JCHCO standards knowledge; strong communication and customer service; MS Office proficiency; HIPAA awareness.
Microsoft Office, Electronic time and attendance systems
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOE3+ Mgmt5+ years in network management, 3+ years supervisory experience, 2+ years in product pricing/financial modeling and provider contracting; expert knowledge of RBRVS, DRGs and ASC groupers.
Medicare Resource Based Relative Value System (RBRVS), DRG, Ambulatory Surgery Center Groupers
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
7+ YOE7+ years healthcare provider contracting; 5+ years hospital contracting; experience with Commercial, Medicare, Medicaid; strong negotiation, collaboration, and analytical skills; ability to travel.