Provider Contracting Manager jobs in Wilmington, DE

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)

F
Provider Network Development and Contracting Representative
  • FourStone Partners
  • West Chester, PA FULL_TIME
  • FourStone Partners is an innovative consulting firm specializing in business development, sales outsourcing, and operational support services within the Workers' Compensation industry. 


    FourStone Partners, a fast growing company in West Chester, PA, is seeking individuals to assist with workers’ compensation provider network recruitment efforts. Potential candidates should be high energy and self-motivated, customer service oriented, and have excellent negotiation and communication skills. Experience with provider recruitment for PPOs, hospital, diagnostic imagining, or PT networks is preferred though not required.  Candidates with managed care or healthcare experience are preferred. Position is available to be remote.


    Summary of Main Responsibilities:

    • Participate in the development and coordination of an extensive provider network involving in/out of state providers and facilities
    • Effectively promote and educate client’s targeted providers, explaining all aspects of the program
    • Correspond with providers to explain the recruitment process and obtain necessary information from them to complete the process
    • Assist with identifying provider network needs and opportunities
    • Collect, maintain, and distribute provider information, changes, and correspondence in client database


    FourStone Partners recognizes that our greatest assets are our employees. We strive to create a mutually rewarding work environment to ensure employee engagement, recognition, and professional development. Our total rewards package includes a competitive salary, excellent benefits, traditional and Roth 401(k), educational assistance, life insurance, and ongoing rewards and recognition. These programs aim to protect your health, your finances, and ultimately your peace of mind. Come join our team!

  • 4 Days Ago

1
Associate Director, Internal Communications
  • 10000990 - Internal Communications Manager
  • Wilmington, DE FULL_TIME
  • At AstraZeneca, we believe in the power of science to change lives. As an Associate Director, Internal Communications, you'll play a pivotal role in channeling our scientific capabilities to make a po...
  • 22 Days Ago

1
Associate Director, CVRM Access Strategy
  • 10000138 - Brand Manager
  • Wilmington, DE FULL_TIME
  • Introduction to Role:Join AstraZeneca's unmatched CVRM (Cardiovascular, Renal & Metabolic) portfolio team and contribute to delivering new treatment options for patients. As an Associate Director, you...
  • 22 Days Ago

5
Medical Science Liaison, MA, RI - GI
  • 50201106 - Oncology Medical Liaison Manager
  • Wilmington, DE FULL_TIME
  • Location: MA, RI, USADo you have expertise in, and passion for Medical Affairs in Oncology? AstraZeneca’s vision in Oncology is to help patients by redefining the cancer-treatment paradigm with the bo...
  • 5 Days Ago

5
Medical Science Liaison - GI
  • 50201106 - Oncology Medical Liaison Manager
  • Wilmington, DE FULL_TIME
  • Location: SC, NC, TN, VA, USADo you have expertise in, and passion for Medical Affairs in Oncology? AstraZeneca’s vision in Oncology is to help patients by redefining the cancer-treatment paradigm wit...
  • 5 Days Ago

B
Contracting and Payer Relations Executive Director
  • Bayhealth
  • Dover, DE FULL_TIME
  • Reporting to the CFO, the Executive Director of Contracting & Payer Relations is responsible for all aspects of managed care, governmental, value-based and population health/clinical integration for B...
  • 21 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Provider Contracting Manager jobs found in Wilmington, DE area

O
Building Services Contracts Manager
  • Ocado Group
  • Hatfield, PA
  • Ocado Group is an equal opportunities employer and as such makes every effort to ensure that all potential employees are...
  • 4/26/2024 12:00:00 AM

L
Senior Contracts Management (Full Remote)
  • Lockheed Martin
  • Moorestown, NJ
  • Job Description We are committed to work life balance by promoting this FULL TIME REMOTE telework option. These job requ...
  • 4/26/2024 12:00:00 AM

P
Clinical Contract Manager
  • Pyramid Consulting Inc
  • Wilmington, DE
  • Immediate need for a talented Clinical Contract Manager. This is a 12+ months Contract opportunity with long-term potent...
  • 4/25/2024 12:00:00 AM

T
Revenue Cycle Analyst - Contract Management
  • Temple Health – Temple University Health System
  • Philadelphia, PA
  • Location: Cheltenham, PA Hours: Day, HYBRID after Training Job Summary Responsibilities include all aspects of Revenue C...
  • 4/24/2024 12:00:00 AM

A
Telecom Contracts Manager
  • Apr Consulting Inc
  • Hancocks Bridge, NJ
  • Requisition : 76297PSEG Company: PSEG PowerSalary Range : $ 101,600 - $ 160,900Incentive : PIP 15%Work Location Category...
  • 4/23/2024 12:00:00 AM

C
Capital Contract Manager (Hyrbid)
  • Christianacare
  • New Castle, DE
  • Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence an...
  • 4/23/2024 12:00:00 AM

D
Provider Contract Manager *REMOTE Seattle Area*
  • Dexian
  • North Philadelphia, PA
  • Position: Provider Contract Manager *REMOTE Seattle Area* Location: Remote - Everett, Seattle, Tacoma, Washington State ...
  • 4/22/2024 12:00:00 AM

J
Manager, Provider Contracting Operations
  • Jefferson Health Plans
  • Philadelphia, PA
  • Why Choose Jefferson Health Plans? We are an award-winning, not-for-profit health maintenance organization offering Medi...
  • 4/22/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 17.0 square miles (44 km2). Of that, 10.9 square miles (28 km2) is land and 6.2 square miles (16 km2) is water. The total area is 36.25% water. The city sits at the confluence of the Christina River and the Delaware River, about 33 miles (53 km) southwest of Philadelphia. Wilmington Train Station, one of the southernmost stops on Philadelphia's SEPTA rail transportation system, is also served by Northeast Corridor Amtrak passenger trains. Wilmington is served by I-95 and I-495 within city limits. In addition, the twin-s...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Manager jobs
$113,871 to $151,221
Wilmington, Delaware area prices
were up 1.0% 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