Provider Contracting Manager jobs in Harrisburg, PA

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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Manager, Provider Contracting Operations
  • Health Partner Plans, Inc.
  • Harrisburg, PA FULL_TIME
  • Why Choose Jefferson Health Plans?
    We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members. We are committed to creating a community where everyone belongs, acknowledges, and celebrates diversity and has opportunities to grow to their fullest potential.
    While this job currently provides a flexible remote option, due to in-office meetings, training as required, or other business needs, our employees are to be residents of PA or the nearby states of DE or NJ.

    Perks of JHP and why you will love it here:
    • Competitive Compensation Packages, including 401(k) Savings Plan with Company Match and Profit Sharing
    • Flextime and Work-at-Home Options
    • Benefits & Wellness Program including generous Time Off
    • Impact on the communities we service
    We are hiring a Manager, Provider Contracting Operations to join our team remotely!

    The Manager, Provider Contracting Operations oversees the Provider Contracting team operations, data and workflows. The Manager is responsible for managing the provider contracting end-to-end processes, which include the contract execution process, updates to the provider data systems, and tracking tools for all JHP contracts. In addition, the Manager creates and updates the department’s operating procedures and workflows. Finally, the Manager maintains and as required, updates the corporate provider contracting templates for all provider types.

    As the Manager, Provider Contracting Operations, your daily duties may include...
    • Manage the Contract Operations team and processes, including tracking and monitoring standard and nonstandard contracts as they go through execution and implementation.
    • Ensure that contract data and information are stored in the JHP contract management system.
    • Manage the development and content of the hospital, professional and ancillary provider contract templates. Work closely with contracting, legal, and other stakeholders to ensure that all terms and revisions meet legal and regulatory requirements.
    • Align and modify provider contracting templates to support JHP’s mission and business strategies.
    • Manage contract renewal calendar and key event (e.g., increases, contract terms, unique provisions) tracking system.
    • Develop and oversee departmental workflows and policies and procedures. Modify processes as needed.
    • Update contract management system with information and data from executed provider contracts.
    • Support network adequacy analytics with data and information from the contract management system.
    • Perform job duties in compliance with policies and procedures of Jefferson Health Plans.
    • Additional duties as assigned.
    Qualifications and Skills, we value
    • Bachelor’s Degree or six years’ relevant experience
    • 3-5 years of experience in a managed care or healthcare setting (payer or provider based), with experience in physician, ancillary and hospital contracting, healthcare or payer operations, provider recruitment, and/or claims payment.
    • Preferred experience in management and/or leadership.
    • Prior experience with a government programs health plan preferred, but not required.
    Skills/Abilities:
    • Superior verbal and written communication skills
    • Strong negotiation, conflict resolution, organization, project management skills.
    • Strong quantitative analytic abilities.
    • Careful attention to detail.
    • Ability to represent Health Partners Plans independently with external providers and senior level hospital and health system executives.
    • Intermediate to advanced use of Microsoft Excel and Word, knowledge of current health care industry and knowledge of governmental program hospital/provider payment methodologies, sufficient to analyze cost and operational impact.
    • Familiarity with claims payments processes and systems.
  • 8 Days Ago

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Contracting Controls Technician- Harrisburg, PA
  • OneTen
  • Harrisburg, PA FULL_TIME
  • Are you ready to grow your HVAC Career with a stable, best-in-class organization that provides top-notch pay and benefits? As a Controls Technician with Trane, you will enjoy steady hours while workin...
  • 16 Days Ago

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Satellite Technician
  • livewire contracting
  • Harrisburg, PA CONTRACTOR,FULL_TIME
  • Experienced Satellite & Cable Techs Needed!! SIGN ON BONUS with previous Satellite Experience. Pay Range is $750.000-$1200.00 per week for entry level positions with the opportunity to make more. Must...
  • 2 Months Ago

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Handyman (MUST be experienced)
  • Maximum Handyman, LLC (Commercial Handyman Service Provider)
  • Harrisburg, PA FULL_TIME
  • *****We do not do residential or multifamily work***** ***** If you are an experienced and skilled professional, we want to hear from you ***** ***** you do not need to be licensed ***** As the most i...
  • 1 Month Ago

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Handyman (MUST be experienced)
  • Maximum Handyman, LLC (Commercial Handyman Service Provider)
  • Carlisle, PA FULL_TIME
  • *****We do not do residential or multifamily work***** ***** If you are an experienced and skilled professional, we want to hear from you ***** ***** you do not need to be licensed ***** As the most i...
  • 1 Month Ago

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Contracting Specialist (Mechanicsburg, PA) - Clearance Required
  • Logistics Management Institute
  • Mechanicsburg, PA OTHER
  • Overview LMI is seeking a Contracting Specialist with significant experience in DoD contracting to support a Navy customer with their deployment of new materiel solutions. This position requires an Ac...
  • 10 Days Ago

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0 Provider Contracting Manager jobs found in Harrisburg, PA area

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Project Manager - Government Services
  • HORNE
  • Harrisburg, PA
  • HORNE is a professional services firm founded on a cornerstone of public accounting. As a top 25 business advisory firm,...
  • 4/24/2024 12:00:00 AM

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Executive Director, Compliance
  • NASCO
  • Harrisburg, PA
  • Overview Under general direction, the Executive Director, Compliance will lead and provide oversight and management of C...
  • 4/24/2024 12:00:00 AM

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Contracts Manager
  • Bae Systems
  • York, PA
  • BAE Systems Contracts Manager York , Pennsylvania Apply Now The open Contracts Manager I position supports contracting a...
  • 4/23/2024 12:00:00 AM

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Water/Wastewater Engineer
  • Gannett Fleming, Inc.
  • Camp Hill, PA
  • : Gannett Fleming is looking for a dynamic Water/Wastewater Engineer offering strong technical expertise to join our Wat...
  • 4/23/2024 12:00:00 AM

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Water & Wastewater Project Manager
  • Herbert, Rowland & Grubic
  • Harrisburg, PA
  • HRG is an employee-owned, nationally recognized consulting engineering, planning, and infrastructure solutions firm. We ...
  • 4/23/2024 12:00:00 AM

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Category Manager
  • Carlisle Construction Materials
  • Carlisle, PA
  • Job Summary This position is responsible for overall sourcing strategy development and implementation for assigned categ...
  • 4/23/2024 12:00:00 AM

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Project Procurement Manager
  • Experis
  • Marietta, PA
  • Our client, a biopharma company is seeking a Project Procurement Manager to join their team. The ideal candidate will be...
  • 4/22/2024 12:00:00 AM

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IT Contracts Manager
  • Select Medical
  • Mechanicsburg, PA
  • Overview: IT Contracts Manager ***Employer will NOT sponsor work visas for this position now or in the future and is not...
  • 4/21/2024 12:00:00 AM

Harrisburg (/ˈhærɪsbɜːrɡ/ HARR-iss-burg; Pennsylvania German: Harrisbarrig)[citation needed] is the capital city of the Commonwealth of Pennsylvania in the United States, and the county seat of Dauphin County. With a population of 49,192, it is the 15th largest city in the Commonwealth. It lies on the east bank of the Susquehanna River, 107 miles (172 km) west of Philadelphia. Harrisburg is the anchor of the Susquehanna Valley metropolitan area, which had a 2017 estimated population of 571,903, making it the fourth most populous in Pennsylvania and 96th most populous in the United States. Harr...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Manager jobs
$106,556 to $141,507
Harrisburg, Pennsylvania area prices
were up 1.5% 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.
January 16, 2020
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