Associate Provider Contract Specialist
Sanford Bemidji, Fargo, ND, United States
Associate Provider Contract Specialist page is loaded## Associate Provider Contract Specialistlocations:
SD, City - Remote SD:
MN, City - Remote MN:
ND, Fargo:
WI, City - Remote WItime type:
Full timeposted on:
Posted Todayjob requisition id:
R-0255463**Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**Work Shift:Day (United States of America)Scheduled Weekly Hours:40Salary Range: $21.50 - $34.50**Union Position:**No**Department Details****Summary**Works in cooperation with the Provider Contract Specialists and other department and organizational colleagues to deliver superior service to the health plans comprehensive network of affiliated health care providers.**Job Description**This individual is responsible to assist in the provider affiliation and contracting activities for hospital, professional, vendor, care system and/or ancillary providers including: coordination of the provider affiliation and termination process, provider outreach for contractual and regulatory requirements, contract document and timeline management, as well as accreditation initiatives.Coordinates the provider affiliation process and incorporates into an affiliation recommendation in alignment with affiliation standards. Assists in management of the provider termination process, including reporting and internal communications. Partners with Provider Contract Specialist(s) to prepare standard provider contract documents, then tracks provider contracts and amendments from initial draft to full execution. Uploads and catalogs all executed contracts in the contract management database.Coordinates meetings with Business Configuration and Provider Contract Specialists for contract implementation and is present to document implementation plans. Collaborates with credentialing and business configuration staff to implement negotiated contracts and ensure accurate information is entered into the credentialing and payment software. Develops and maintains a contract inventory tool to ensure contract deadlines and requirements are satisfied. Develops and maintains a standard provider reimbursement documentation structure.Conducts initial and follow-up outreach to providers for standard delegated credentialing amendment contracting.**Qualifications**Associate degree or 60+ credits in health care, business, marketing, education, or related field, required.Bachelor's degree in business administration, accounting, health care, finance, or related field, preferred.
Two years’ experience in a medical group practice or health insurance/Health Maintenance Organization (HMO) environment. Experience with data entry, customer service, claims processing, billing, provider relations, credentialing or contracting. Demonstrated proficiency with the Microsoft Office suite, especially Microsoft Excel.
**Sanford is an EEO/AA Employer M/F/Disability/Vet.****If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.**Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Headquartered in Sioux Falls, South Dakota, the organization has 53,000 employees and serves over 2 million patients and nearly 425,000 health plan members across the upper Midwest including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin and the Upper Peninsula of Michigan. The integrated nonprofit health system includes a network of 56 hospitals, 288 clinic locations, 147 senior care communities, 4,000 physicians and advanced practice providers and nearly 1,500 active clinical trials and studies. The organization’s transformational virtual care initiative brings patients closer to care with access to 78 specialties. Learn more about Sanford Health’s commitment to shaping the future of rural health care across the lifespan at
or . Good Samaritan, one of the nation’s largest nonprofit providers of senior care and services, is committed to transforming the aging experience through innovation, compassion and personalized care. As part of , an integrated nonprofit health system headquartered in Sioux Falls, South Dakota, Good Samaritan serves 10,000 seniors and offers access to a full continuum of care, including 94 rehabilitation and skilled nursing centers, 56 assisted living and memory care facilities, 44 independent living locations and 37 home health and hospice agencies. The senior care provider delivers services across the upper Midwest, with 70% of residents living in rural communities. Learn more about Good Samaritan’s mission and commitment to delivering high quality senior care in rural America at good-sam.com. #J-18808-Ljbffr
SD, City - Remote SD:
MN, City - Remote MN:
ND, Fargo:
WI, City - Remote WItime type:
Full timeposted on:
Posted Todayjob requisition id:
R-0255463**Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**Work Shift:Day (United States of America)Scheduled Weekly Hours:40Salary Range: $21.50 - $34.50**Union Position:**No**Department Details****Summary**Works in cooperation with the Provider Contract Specialists and other department and organizational colleagues to deliver superior service to the health plans comprehensive network of affiliated health care providers.**Job Description**This individual is responsible to assist in the provider affiliation and contracting activities for hospital, professional, vendor, care system and/or ancillary providers including: coordination of the provider affiliation and termination process, provider outreach for contractual and regulatory requirements, contract document and timeline management, as well as accreditation initiatives.Coordinates the provider affiliation process and incorporates into an affiliation recommendation in alignment with affiliation standards. Assists in management of the provider termination process, including reporting and internal communications. Partners with Provider Contract Specialist(s) to prepare standard provider contract documents, then tracks provider contracts and amendments from initial draft to full execution. Uploads and catalogs all executed contracts in the contract management database.Coordinates meetings with Business Configuration and Provider Contract Specialists for contract implementation and is present to document implementation plans. Collaborates with credentialing and business configuration staff to implement negotiated contracts and ensure accurate information is entered into the credentialing and payment software. Develops and maintains a contract inventory tool to ensure contract deadlines and requirements are satisfied. Develops and maintains a standard provider reimbursement documentation structure.Conducts initial and follow-up outreach to providers for standard delegated credentialing amendment contracting.**Qualifications**Associate degree or 60+ credits in health care, business, marketing, education, or related field, required.Bachelor's degree in business administration, accounting, health care, finance, or related field, preferred.
Two years’ experience in a medical group practice or health insurance/Health Maintenance Organization (HMO) environment. Experience with data entry, customer service, claims processing, billing, provider relations, credentialing or contracting. Demonstrated proficiency with the Microsoft Office suite, especially Microsoft Excel.
**Sanford is an EEO/AA Employer M/F/Disability/Vet.****If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.**Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Headquartered in Sioux Falls, South Dakota, the organization has 53,000 employees and serves over 2 million patients and nearly 425,000 health plan members across the upper Midwest including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin and the Upper Peninsula of Michigan. The integrated nonprofit health system includes a network of 56 hospitals, 288 clinic locations, 147 senior care communities, 4,000 physicians and advanced practice providers and nearly 1,500 active clinical trials and studies. The organization’s transformational virtual care initiative brings patients closer to care with access to 78 specialties. Learn more about Sanford Health’s commitment to shaping the future of rural health care across the lifespan at
or . Good Samaritan, one of the nation’s largest nonprofit providers of senior care and services, is committed to transforming the aging experience through innovation, compassion and personalized care. As part of , an integrated nonprofit health system headquartered in Sioux Falls, South Dakota, Good Samaritan serves 10,000 seniors and offers access to a full continuum of care, including 94 rehabilitation and skilled nursing centers, 56 assisted living and memory care facilities, 44 independent living locations and 37 home health and hospice agencies. The senior care provider delivers services across the upper Midwest, with 70% of residents living in rural communities. Learn more about Good Samaritan’s mission and commitment to delivering high quality senior care in rural America at good-sam.com. #J-18808-Ljbffr