Provider Contracting Manager jobs in Dothan, AL

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 Assistant
  • Opp Health And Rehabilitation LLC - NHS Management
  • Opp, AL FULL_TIME
  • Job Title: Provider Assistant / Medical Assistant

    Department: Southern NP Associates

    Wage Level: Hourly

    Reports To: Office Manager


    GENERAL PURPOSE:

    The Provider Assistant is responsible for integrating both clerical and clinical tasks to enhance workflow by assisting the designated SNP provider/s provide continuity of care in both the long-term and post-acute rehabilitation setting.


    QUALIFICATIONS

    .

    • Certification as a Medical Assistant is preferred.
    • Knowledge of long-term care environment is desired.
    • Must possess the ability to communicate effectively and respectfully with NP practice members, facility staff, patients, the medical community, and other customers.
    • Must possess computer expertise as well as a knowledge of electronic medical record documentation.
    • Capable of autonomous documentation requirements.
    • Must have patience and a positive attitude toward the elderly and disabled.
    • Must be able to speak, read, write, and understand English.
    • Must be capable of performing the ESSENTIAL JOB FUNCTIONS AND PHYSICAL AND SENSORY REQUIREMENTS FOR ALL JOB FUNCTIONS as outlined below:

    STANDARD REQUIREMENTS


    • Support the Mission, Values, and Vision of Southern NP Associates, LLC and affiliated companies.
    • Knowledgeable of resident rights and ensure an atmosphere in which allows for the privacy, dignity, and well-being of all residents.
    • Report to management immediately all instances of misappropriation/handling of resident property.
    • Support, cooperate with, and implement specific procedures and programs for:
    • Safety, safe work practices, established fire/safety/disaster plans, risk management, security, report and/or correct unsafe working conditions, equipment repair and maintenance needs.
    • Maintain confidentiality of all data, including resident, employee, and operations data.
    • Comply with all regulatory requirements.
    • Comply with current law and policy to provide a work environment free from sexual harassment, and all illegal and discriminatory behavior.
    • Support and participate in common teamwork.
    • Cooperate and work together with all co-workers.
    • Plan and complete job duties with minimal supervisory direction, including appropriate judgment.
    • Use tactful, appropriate communications in sensitive and emotional situations.
    • Follow up as appropriate with supervisor on reported complaints, problems, and concerns.
    • Complete requirements for training, acceptable attendance, dress code including personal hygiene, and other work duties as assigned.
    • Provide great customer service to internal & external customers.
    • Promote positive public relations with residents, family members, and guests.
    • Support facilities and facility staff in a friendly, courteous, and cooperative manner.
    • Comply with all company policies and procedures regarding HIPAA Privacy and Security, the company’s Corporate Compliance and Quality Assurance program requirements, including the Code of Conduct, and neglect state mandated requirements in accordance with Federal requirements.

    DOCUMENTATION


    • Must comply with outlined job functions and readily adapt to a changing environment.
    • Must complete documentation requirements efficiently.
    • Must document in multiple electronic medical record systems and update each EMR as outlined in job duties.

    ESSENTIAL JOB FUNCTIONS


    • Receive patient list daily from designated provider(s) via secured NHS email for the purposes of documentation and reconciliation.
    • Maintain a template spreadsheet for all designated provider(s) for Simpra Advantage members for metrics tracking purposes as outlined in training course.
    • Copy and paste provider clinical notes from EHR systems and update clinically

    necessary metrics.

    • Monthly medication review between EHR systems to ensure consistent documentation

    and update EHR system when appropriate and ensure metrics are completed as required.

    • Interact quarterly with care plans as directed by designed provider(s).
    • Review HCC/ICD10 codes quarterly and communicate inconsistencies to the designated

    Provider(s) for review.

    • Coordinate MTM (medication therapy management) annual reviews between the consultant pharmacist and the designated provider(s)
    • Other duties determined to streamline workflow processes for SNP providers and staff.

    OTHER JOB FUNCTIONS


    • Performs all other duties as assigned by Office Manager.

    WORKING CONDITIONS


    • Interact with residents, family members, staff, visitors, government agencies/personnel, etc. under all conditions/circumstances.
    • May be subject to hostile and emotionally upset residents, family members, staff, visitors, etc under all conditions/circumstances.
    • May be subject to frustrations in meeting work demands due to frequent interruptions.
    • May be exposed to infectious waste; diseases, conditions, etc, including exposure to AIDS and Hepatitis B viruses.

    PHYSICAL AND SENSORY REQUIREMENTS FOR ALL JOB FUNCTIONS


    • Mobility within work environment necessary to perform job duties.
    • Ability to lift, carry, push, bend, reach, grasp, perform fine manipulations, etc., necessary to perform job duties.
    • Ability to remain calm under stress.
    • Ability to communicate with residents, families, personnel and support agencies.
    • Ability to evaluate and interpret information.
    • Ability to make independent decisions.
    • Ability to understand and interpret financial data.
  • 28 Days Ago

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Advanced Practice Provider (APP)
  • Monogram Health
  • Dothan, AL FULL_TIME
  • Position: Advanced Practice Provider 🌟🌟🌟🌟🌟 “Working at Monogram Health has reignited my passion as a Nurse Practitioner. Finally, I can spend the right amount of time with a patient to develop an...
  • 17 Days Ago

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(Physician) Otolaryngology (ENT) - ENT Provider Needed in Dothan, AL
  • Arlington HealthCare
  • Dothan, AL FULL_TIME
  • Job ID: 10438 Practice Details Seeking a BE/BC Otolaryngologist (ENT) to join an established private practice with 3 physicians. Ear, Nose, & Throat Shared call coverage Dedicated block time in OR Acc...
  • 1 Month Ago

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Manager
  • Arby's
  • Dothan, AL FULL_TIME,PART_TIME
  • ```Job Overview:```We are seeking a highly motivated and experienced Manager to join our team. As a Manager, you will be responsible for overseeing the daily operations of our restaurant and ensuring ...
  • 1 Month Ago

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Manager
  • Wendy's
  • Ozark, AL FULL_TIME
  • Want to make a difference? Want to be a leader?The General Manager manages the operations and staff of a Wendy’s restaurant, including the execution of all Company policies, procedures, programs and s...
  • 25 Days Ago

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Manager
  • Popeyes CK Management
  • Geneva, AL FULL_TIME
  • Popeye’s Louisiana Kitchen – Manager Position Description Our Popeye’s franchise is seeking customer service and results oriented Managers to join our team. Do you possess great customer service, lead...
  • 1 Month Ago

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0 Provider Contracting Manager jobs found in Dothan, AL area

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General Manager | Fast-Growing Casual Dining
  • Superior Talent Source
  • Dothan, AL
  • Job Description Job Description We are seeking a dynamic and experienced General Manager to lead the team of a full-serv...
  • 4/22/2024 12:00:00 AM

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Part Time Program Site Supervisor
  • City of Dothan, AL
  • Dothan, AL
  • Salary: $17.00 - $27.20 Hourly Location : Dothan, AL Job Type: PART TIME Job Number: 5809-24-03 Department: LEISURE SERV...
  • 4/22/2024 12:00:00 AM

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Fuel and Lubricant Consultant
  • Retif Oil & Fuel
  • Dothan, AL
  • Job TypeFull-timeDescriptionRetif Oil & Fuel is one of the largest fuel and lubricant distributors in the southeast. We ...
  • 4/22/2024 12:00:00 AM

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Financial Analyst
  • CAE USA
  • Dothan, AL
  • Who We Are: CAE Vision: Our vision is to be the worldwide partner of choice in defense and security, civil aviation, and...
  • 4/22/2024 12:00:00 AM

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Sales Associate - 6053 Dothan, AL 36303
  • Five Below
  • Dothan, AL
  • At Five Below our growth is a result of the people who embrace our purpose: We know life is way better when you are free...
  • 4/22/2024 12:00:00 AM

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Team Member
  • Krystal Restaurant
  • Dothan, AL
  • The Team Member demonstrates Krystal's Core Values in preparation of quality food in a clean, safe, and efficient manner...
  • 4/22/2024 12:00:00 AM

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MILIEU MANAGER
  • UHS
  • Dothan, AL
  • Responsibilities Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected health care man...
  • 4/21/2024 12:00:00 AM

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Operations Manager (Medicaid Eligibility)
  • Elevate Patient Financial Solution
  • Dothan, AL
  • Elevate Patient Financial Solutions has an exciting career opportunity available as an Operations Manager I. This positi...
  • 4/20/2024 12:00:00 AM

Dothan /ˈdoʊθən/ is a city in Dale, Henry, and Houston counties in the U.S. state of Alabama. It is the county seat of Houston County and the seventh largest city in Alabama, with a population of 65,496 at the 2010 census. It is near the state's southeastern corner, approximately 20 miles (32 km) west of the Georgia state line and 16 miles (26 km) north of Florida. It is named after the biblical city, the place where Joseph's brothers threw him into a cistern and sold him into slavery in Egypt. Dothan is the principal city of the Dothan, Alabama metropolitan area, which encompasses all of Gene...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Manager jobs
$93,891 to $124,688
Dothan, Alabama area prices
were up 1.3% from a year ago

Provider Contracting Manager in Scranton, PA
In order to properly oversee provider contracts, insurance companies must ensure all the medical professionals they are contracting with are properly credentialed; maintain detailed price sheets to standardize how much they are paying for services; and keep historical records of each account.
December 11, 2019
Provider Contracting Manager in Allentown, PA
The complete report provides the full listing of all companies nominated, as well as benchmark ratings for a listing of 40+ companies in account support and contracting.
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Provider Contracting Manager in Savannah, GA
The Senior Provider Contract Manager is responsible for developing, negotiating, managing and leading complex contractual, legal and financial arrangements with providers that ensure CCA members have superior access to the highest quality, cost-effective providers of healthcare services.
January 03, 2020