Contract Specialist(Healthcare)

Contract Specialist I 6+ Months Remote PR: $26/hr on W2 Job Description:

• Will these role be fully remote? Yes
• What is the expected schedule (include days/times/timezone) 8am-5pm CST

Please note that there is an enterprise wide initiate to hire from 1 of the following 15 states- AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle), WI

• What are the day to day job duties? Day-to-day responsibilities include negotiating assigned contracts and Letters of Agreement with hospitals, physician groups, and ancillary providers to support a high-quality, cost-effective, and competitive provider network. The role maintains detailed tracking systems and produces reports in alignment with departmental procedures, ensuring transparency, accuracy, and accountability across all contracting activities. Core functions include initiating, negotiating, generating, and tracking provider Letters of Agreement, contracts, amendments, and Single Case Agreements from initial draft through full execution using approved standardized templates and contractual frameworks. This position plays a critical role in supporting SB1264 case resolution efforts, including direct participation in negotiation strategy, settlement positioning, and coordination related to arbitration, mediation, and disputed out-of-network claims. The role actively supports statewide network development through targeted research, recruitment, and negotiation with providers while ensuring alignment with Client’s network adequacy standards and regulatory requirements. It contributes to the evaluation and implementation of strategic network plans to maintain compliance and optimize access. Responsibilities also include clear and professional communication of contract terms, payment structures, reimbursement methodologies, and SB1264 settlement positions to hospitals, physicians, and ancillary providers. The role assists with the analysis and coordination of amendments, reimbursement modifications, and contract language updates, ensuring accuracy and consistency across all provider agreements. Additionally, this position gathers and validates billing codes, service details, and supporting documentation required to complete comprehensive contract profiles and SB1264 case files. It coordinates the preparation, routing, and distribution of all contracting documentation to ensure timely execution and adherence to standardized operational processes, directly supporting negotiation efficiency and regulatory compliance.
• Top Skills Required: Knowledge in Excel, Word, Outlook, and PowerPoint programs Ability to interact well with all internal and external customers’ Ability to work and make decisions independently Excellent organizational and verbal and written communication skills Ability to abide by Client’s policies Ability to maintain attendance to support required quality and quantity of work Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers
• Required Education/Certification(s): Bachelor’s Degree or equivalent work experience in health care field including, but not limited to, provider’s office, managed care, or other health care field.
• Required Years of Experience: 1-2 years provider contract negotiation experience in the health care field including, but not limited to, provider’s office, managed care organization, or other health care field.
• What additional IT equipment is required (dual monitors, docking station, etc.) dual monitors, docking station
• Is there potential for these to extend past 3 months or convert to full-time positions with Client? Yes

Job Type: Contract Pay: $25.00 – $26.00 per hour Application Question(s):

• Candidate must be local to 1 of 15 states- AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle), WI

Education:

• High school or equivalent (Preferred)

Experience:

• Contract management: 4 years (Preferred)
• tracks provider Letters of Agreement, contracts: 4 years (Preferred)
• Negotiates assigned contracts and letters of agreements: 5 years (Preferred)

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