Provider Contracting Director jobs in Georgia

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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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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Corporate Director, Sourcing and Contracting
  • Emory Healthcare
  • Atlanta, GA FULL_TIME
  • Overview At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find s...
  • 21 Days Ago

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Corporate Director, Sourcing and Contracting
  • Emory Healthcare
  • Atlanta, GA FULL_TIME
  • Overview At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find s...
  • 14 Days Ago

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Director, Payer Contracting (Commercial)
  • Aledade
  • Atlanta, GA FULL_TIME
  • The Director, Commercial Contracting on the Strategic Payer Partnerships team will execute Aledade’s commercial value-based care contracts with national and regional health plans as we help primary ca...
  • 1 Month Ago

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AVP, Provider Contracting - Atlanta, GA market - Cigna Healthcare
  • The Cigna Group
  • Atlanta, GA OTHER,FULL_TIME
  • The job profile for this position is Provider Contracting Senior Manager, which is a Band 4 Management Career Track Role.Excited to grow your career?We value our talented employees, and whenever possi...
  • Just Posted

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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

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 Director jobs
$167,017 to $241,218

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