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Corizon Health Senior Provider Contracting Specialist in St. Louis, Missouri

About Corizon Health

Corizon Health is the pioneer provider of correctional healthcare in the United States. We are a company built on more than 40 years of innovation and expertise in the industry. Our people, our practices, and our commitment to success are the traits that make us the ideal employer as you begin or continue to advance your correctional healthcare career. The Senior Provider Contracting Specialist will be based here at headquarters in Brentwood, TN.

Responsibilities

  • Contract, negotiate and finalize physician, hospital and ancillary contracts

  • Facilitate issues with the claims department, vendor payroll and accounts payable

  • Perform financial analysis through use of claims systems and managed care reimbursement methodologies

  • Communicates with field personnel to educate on role of Network Development department and policies and procedures.

  • Assist in development of proposal for new business as it relates to the provider network.

  • Implementation of new business for compliance with operational deadlines.

  • Draft and negotiate amendments & addendums to physician, hospital and ancillary contracts.

  • Other duties as assigned by the Manager of Network Development.

Experience & Requirements

  • Bachelor’s degree preferred

  • Three to five (3-5)years of Managed Care/Healthcare experience

  • One to three (1-3) years experience in working with Managed Care contract terms and reimbursement methods.

  • Strong interpersonal skills with the ability to coordinate necessary communication at all levels to promote teamwork.

  • QNXT claims system experience a plus.

  • Excellent written and verbal communication skills.

  • Strong Excel and Word knowledge

  • Superior organizational skills and the ability to multi-task high priority projects simultaneously.

  • Detail oriented with strong commitment to follow the project through to completion.

  • Ability to present information in a group setting to internal and external audiences.

  • Ability to travel with overnight stay.

Corizon offers you the following:

  • Paid Time Off

  • Medical, Dental and Vision Insurance

  • Tuition Assistance

  • 401(k) with Company Match

  • Comprehensive On-boarding

About Us:

Check Us Out:

This position may require a background check, security clearance, and/or drug screening.

Not ready to apply? Connect with us for general consideration.

Corizon Health is an Equal Opportunity/Affirmative Action Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, Vietnam era veteran, or disabled Veteran status. EOE including Disability/Protected Veterans

Job Locations US-MO-St. Louis

Category Corporate

Position Type Regular Full-time

Shift / Schedule Weekday Day

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