Provider Contracting Director jobs in Bridgeport, CT

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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Contracting Specialist
  • Health Plan One
  • Trumbull, CT FULL_TIME
  • HealthPlanOne's mission is to help people find the right health insurance at the right price, so they live healthier lives. We are committed to making the shopping process simpler. Our mission has never been more important than it is today.

    The Contracting Specialist is responsible for onboarding new agents, and managing all information related to select insurance carrier appointments in the internal database systems.

    Duties/Responsibilities:

    • Ensure that HPOne has the most current carrier appointment requirements and process on file and maintain and organize requirements within QuickBase database system for easy access and to provide as a tutorial for other department members
    • Complete, submit and follow up on carrier appointment paperwork for all internal HPOne agents and agency
    • Send contracting paperwork to agents to obtain signatures
    • Submit appointment fee requests to Finance Department where applicable
    • Maintain electronic files of all agent and agency carrier appointment paperwork
    • Send carrier appointment/certification requirements/links to agents and obtain and file completion certificates electronically
    • Manage all applicable carrier appointments within the QuickBase License Management System, including status changes from submitted to fully/actively appointed
    • Ensure all appointment confirmations are received in writing from carrier
    • Submit any state license add-on requests to applicable carriers and follow up to ensure active/ready to sell status
    • Provide back up to assigned “contracting partner” on applicable carriers
    • Communicate with appropriate “Sales Leaders” should you need additional assistance with agents completing certs, completing paperwork, etc.
    • Provide license ordering/renewing support
    • Provide inbound/outbound phone support
    • Provide assistance with reports
    • Provide back up for Medicare application scrubbing and submission
    • Perform other related duties as assigned

    Required Skills/Abilities:

    • High school diploma or equivalent
    • Two years of experience in a fast-paced, administrative role
    • Excellent written and verbal communication
    • Experience in a healthcare setting
    • Highly organized with the ability to multi-task
    • Strong attention to detail
    • Proficiency with Microsoft Office
    • Solid problem solving and time management skills
    • Ability to maintain confidentiality when handling sensitive, confidential information

    Preferred Skills/Abilities:

    • Bachelor’s degree in related field
    • Four years of experience in a fast-paced, administrative role

    Physical Requirements:

    • Prolonged periods of sitting at a desk and working on a computer, typically in a cubicle environment (constant noise, fluorescent overhead lighting)
    • Able to wear headset for duration of shift

    Our centers are consistent with CDC guidelines and align with local government orders pertaining to all Company physical locations in relation to COVID-19.

    Equal Employment Opportunity (EEO) is a fundamental principle at HealthPlanOne, where employment is based upon personal capabilities and qualifications. HealthPlanOne does not discriminate because of actual or perceived sex, sexual orientation or preference, gender identity, gender, transgender, race, color, religion, national origin, creed, citizenship status, ancestry, age, marital status, pregnancy, childbirth or related medical conditions, medical conditions including genetic characteristics, mental or physical disability, military and veteran status, or any other protected characteristic as established by law. HealthPlanOne requires the necessary drug testing and background checks as part of our pre-employment practices.

    Job Type: Full-time

    Benefits:

    • Dental insurance
    • Health insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work Location: Hybrid remote in Trumbull, CT 06611

  • 7 Days Ago

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Swimming Pool Construction/Service
  • Sharper Image Contracting Llc
  • Monroe, CT FULL_TIME
  • Benefits: 401(k) matching Health insurance Opportunity for advancement Pool Construction company seeking qualified individual in all phases of pool construction, service and repair. Must have valid dr...
  • Just Posted

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PA - Urgent Care Provider
  • Wcs Healthcare Partners
  • westport, CT FULL_TIME
  • This job offer is not available in your country. Job Description Compensation : $140000 - $150000 Job ID : 28268 Job Function : Physician-owned organization with an established reputation throughout N...
  • Just Posted

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Advanced Practice Provider
  • American Family Care Fairfield
  • Fairfield, CT FULL_TIME
  • Benefits/Perks Great Health Care work environment Flexible scheduling Paid time off, health insurance, dental insurance, retirement benefit, CME stipend, and more! Company OverviewAmerican Family Care...
  • 1 Day Ago

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Childcare Provider (FA)
  • THE EDGE FITNESS CLUBS
  • Fairfield, CT PART_TIME
  • Do you like kids? Do you like high energy activities? Then you'll love being an Edge Kid's Coach! Our Edge Kids Programming along with Coach's attention, enthusiasm and creativity sets the Edge apart....
  • 8 Days Ago

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Personal Care Provider
  • Talem Home Care - New Haven
  • Fairfield, CT FULL_TIME
  • Benefits: Flexible schedule Paid time off Wellness resources Benefits/Perks Flexible Schedule Weekly pay Direct Deposit Opportunity for Paid Time Off Discount Programs Insurance Medical Dental Vision ...
  • 10 Days Ago

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0 Provider Contracting Director jobs found in Bridgeport, CT area

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Advanced Practice Provider
  • TIMOTHY D GROTH MD PC
  • Centereach, NY
  • Job Description Job Description Timothy Groth MD PC is looking to add an Advanced Practice Provider (APP) to our growing...
  • 4/24/2024 12:00:00 AM

K
After School Care Provider
  • King School Incorporated
  • Stamford, CT
  • Job Type Part-time Description King School (King) is an independent, college preparatory day school serving students fro...
  • 4/23/2024 12:00:00 AM

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Primary Care Provider
  • DOCS MEDICAL GROUP
  • Waterbury, CT
  • Job Details Job Location Waterbury - Chase, CT - Waterbury, CT Position Type Full-Time/Part-Time Education Level Graduat...
  • 4/22/2024 12:00:00 AM

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Advanced Practice Provider
  • Catholic Health
  • Garden City, NY
  • Overview: Orthopedics - Physician Assistant Orthopedic surgeons diagnose and treat conditions of the muscles, bones and ...
  • 4/22/2024 12:00:00 AM

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Advanced Practice Provider
  • Catholic Health Services
  • Garden City, NY
  • Overview Orthopedics - Physician Assistant Orthopedic surgeons diagnose and treat conditions of the muscles, bones and j...
  • 4/22/2024 12:00:00 AM

T
Childcare Provider (SH)
  • The Edge Fitness Clubs
  • Shelton, CT
  • Job Description Do you like kids? Do you like high energy activities? Then you'll love being an Edge Kid's Coach! Our Ed...
  • 4/21/2024 12:00:00 AM

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Childcare Provider (ME)
  • The Edge Fitness Clubs
  • Meriden, CT
  • Job Description Do you like kids? Do you like high energy activities? Then you'll love being an Edge Kid's Coach! Our Ed...
  • 4/21/2024 12:00:00 AM

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Advanced Practice Provider
  • TIMOTHY D GROTH MD PC
  • Centereach, NY
  • Job Description Job Description Benefits: 401(k) 401(k) matching Competitive salary Health insurance Paid time off Timot...
  • 4/20/2024 12:00:00 AM

Bridgeport is a historic seaport city in the U.S. state of Connecticut. It is in Fairfield County, at the mouth of the Pequonnock River on Long Island Sound, 60 miles from Manhattan and 40 miles from The Bronx. It is bordered by the towns of Trumbull to the north, Fairfield to the west, and Stratford to the east. As of 2017, Bridgeport had an estimated population of 146,579, which made it the largest city in Connecticut and the fifth-most populous in New England. The Greater Bridgeport area is the 48th-largest urban area in the United States. The showman P. T. Barnum was a resident of the cit...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$195,461 to $282,297
Bridgeport, Connecticut area prices
were up 1.7% from a year ago

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