Provider Contracting Manager jobs in Jackson, MS

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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QIDP- Case Manager
  • Case Manager
  • Brookhaven, MS FULL_TIME,PART_TIME


  • POSITION PURPOSE: 

    Responsible for the day-to-day delivery of individual support program services to assigned case load in accordance with Federal, State, and facility codes, regulations, guidelines and expectations. 

    ESSENTIAL FUNCTIONS OF POSITION: 

    1. Develop and implement Individual Support Plans [ISPs] for each person in assigned case load based on accurate, reliable assessments and other information.
    2. Ensures the ISP addresses specific needs, etc., as identified from CFAs [Comprehensive Functional Assessments].
    3. Ensures programs are written to meet visions and goals identified on the resident’s ISP.
    4. Ensures written programs meet regulatory and facility requirements prior to implementation.
    5. Recommends and develops programs for unaddressed priority needs.
    6. Ensures that data collection forms and collection methodology reflects specific progress to stated program objective completion criteria and/or other outcomes for which the data is being collected, i.e., sleep data, participation data.
    7. Directs and ensures the delivery of ISP services.
    8. Systematically analyzes data to determine status related to criteria in the objective.
    9. Recommends and implements timely modifications of unsuccessful training programs
    10. Actively participate in facility Interdisciplinary Teams [IDT].
    11. Design and implement staff development programs [in-services] related to program services for all staff in all departments to maintain and improve their competencies.
    12. Ensure residents’ personal hygiene, dress and grooming is acceptable by local expectations.
    13. Spends most of the workday in the program areas training and directing, supporting the trainers.
    14. Ensures continuous active treatment regimen for those individuals assigned in the caseload.
    15. Any other responsibilities assigned by supervisor and/or administrator.

    EDUCATION / REQUIREMENTS: 

    Is one of the following: A doctor of medicine osteopathy, a registered nurse, an individual who holds at least a bachelor’s degree in a professional category specified in the Federal regulation 483.430 paragraph (b)(5) or designated as a human services professional that has at least a bachelor’s degree in a human services field (including, but not limited to: sociology, special education, rehabilitation counseling, and psychology). 

    At least one year’s experience working with intellectual disabilities or other developmental disabilities. 

    When State licensure and/or certification is required for the professional degree held by the QIDP, the license must be current and unencumbered. 


  • 8 Days Ago

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Project Engineer - Jackson, MS
  • NexGen Contracting
  • Jackson, MS OTHER
  • Overview NexGen is looking to add a Project Engineer to their Jackson, MS location! Responsibilities Why NexGen? NexGen Contracting, the self-perform arm of Gray, is based in Franklin, TN, and special...
  • 19 Days Ago

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Site Safety Technician
  • NexGen Contracting
  • Jackson, MS OTHER
  • Overview NexGen is looking to add a Site Safety Technician to our Jackson, MI location. Responsibilities Why NexGen? NexGen Contracting, the self-perform arm of Gray, is based in Franklin, TN, and spe...
  • 1 Month Ago

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Direct Service Provider
  • Willowood Developmental Center
  • Jackson, MS FULL_TIME
  • Willowood Developmental Center is currently accepting resumes and interviewing for the following position:( Jackson, MS)The candidate MUST be able to work all of the following:Community Living Shared ...
  • 8 Days Ago

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Advanced Practice Provider (APP)
  • Monogram Health Professional Services
  • Laurel, MS FULL_TIME
  • Advanced Practice Provider Monogram Health is looking for skilled Nurse Practitioners and Physician Assistants eager for the opportunity to make a difference in patients' lives. The Advanced Practitio...
  • 1 Month Ago

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BlueAdvantage Network Provider Consultant
  • Blue Cross & Blue Shield of Mississippi
  • Flowood, MS FULL_TIME
  • Healthy Careers Start Here At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellnes...
  • 1 Month Ago

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0 Provider Contracting Manager jobs found in Jackson, MS area

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Business Manager
  • University Press of Mississippi
  • Jackson, MS
  • The University Press of Mississippi (UPM) invites applications for the full-time on-site position of Business Manager. T...
  • 4/23/2024 12:00:00 AM

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Contract Administrator - SER-Contracts Administration
  • University of Mississippi Medical Center
  • Jackson, MS
  • Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please rev...
  • 4/23/2024 12:00:00 AM

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Territory Account Manager
  • Sheffield Metals International
  • Jackson, MS
  • Job Description Job Description Territory Account Manager The Territory Account Manager will generate new revenue produc...
  • 4/22/2024 12:00:00 AM

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Lead Mechanical Engineer - Energy & Power
  • Jacobs
  • Jackson, MS
  • Your Impact: Our People & Places Solutions business - reinforces our drive to improve the lives of people everywhere and...
  • 4/22/2024 12:00:00 AM

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Accounting Lead - Remote & Haiti
  • Amentum
  • Jackson, MS
  • Amentum, a large government contract company, is seeking an Accounting Lead to support a pending contract award in Haiti...
  • 4/22/2024 12:00:00 AM

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Software Licensing Specialist
  • Amentum
  • Jackson, MS
  • We are looking for a **Software Licensing Specialist** to join our team and to administer the contractual relationships ...
  • 4/21/2024 12:00:00 AM

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Associate Director - Facilities Operations-Facilities Services
  • University of Mississippi Medical Center
  • Jackson, MS
  • Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please rev...
  • 4/21/2024 12:00:00 AM

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Director, Capture
  • Amentum
  • Jackson, MS
  • Job Description Amentum is seeking a full-time **Capture Manager** to lead and support growth in its Critical Missions/S...
  • 4/20/2024 12:00:00 AM

Jackson is located primarily in northeastern Hinds County, with small portions in Madison and Rankin counties. The Pearl River forms most of the eastern border of the city. A small portion of the city containing Tougaloo College lies in Madison County, bounded on the west by Interstate 220 and on the east by U.S. Route 51 and Interstate 55. An unconnected section of the city surrounds Jackson–Evers International Airport in Rankin County. In the 2010 census, only 622 of the city's residents lived in Madison County, and only 1 lived within the city limits in Rankin County. The city is bordered t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Manager jobs
$97,057 to $128,893
Jackson, Mississippi area prices
were up 1.2% 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