Contracts Specialist - Health Plan

Johnson Service Group

Orange, IL

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JOB DETAILS

SALARY

$35–$45 Per Hour

SKILLS

Contract Creation, Contract Management, Contract Negotiation, Data Analysis, Health Plan, Managed Care, Negotiation Skills, Network Performance/Analysis, Organizational Development/Management, Provider Contracting, Reimbursement, Time Management

LOCATION

Orange, IL

POSTED

1 day ago

Johnson Service Group (JSG) is seeking a Contracts Specialist for a Healthcare Plan organization in Orange County, CA.
Onsite I 6 Month Contract
Pay $35.00- $45 per hour

Preferred Qualifications:

Experience negotiating single patient agreements, professional and ancillary contracts.
Experience with elementary data analysis.

Minimum Qualifications:

Associate degree PLUS 2 years of work experience related to managed care or related field required or an equivalent combination of education and experience sufficient to successfully perform the essential duties.

Duties and Responsibilities:
Contract Support
Evaluates out of network requests from medical management, assesses in-network providers for redirection and attends daily staff meetings to discuss outcomes.

Negotiates single patient agreements for members directed out of network and serves as a point of contact for provider inquiries.

Assists Contracts Managers with contract creation, distribution and collection of outstanding contract documents.

Maintains electronic library of provider contacts and contracts on shared drive and contract management system/database.

Responds to inquiries regarding contract status, network rosters provider reimbursement and application/credentialing status in a timely manner.

JSG offers medical, dental, vision, life insurance options, short-term disability, 401(k), weekly pay, and more. Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.#D800

About the Company

Johnson Service Group

At JSG, We Understand People

It is our mission to empower people, help our clients reach their goals, and hire motivated individuals.

Since our start in 1984, we’ve worked hard to establish our present position as the most effective cross-industry staffing and consulting solution available.

Headquartered in Chicago, IL with local offices throughout the United States and Canada, JSG proudly serves a diverse range of industries with the right solutions to help clients reach their company goals. Our client-centric approach enables us to create personalized solutions for businesses in need of top-tier talent. Our dedication doesn’t stop at our clients. We strive to connect candidates with opportunities that match their skills and goals. More than just a go-between, we are a dependable bridge, uniting top talent with suitable opportunities, facilitating shared opportunities and growth.

COMPANY SIZE

1,000 to 1,499 employees

INDUSTRY

Staffing/Employment Agencies

FOUNDED

1984

WEBSITE

https://www.jsginc.com/

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