Provider Contract Specialist (Contract reputed company Reviewer)
reputed company: reputed company Contract Specialist - Provider ContractingPosition SummaryThe reputed company Contract Specialist - Provider Contracting supports the drafting, language review, and administration of provider agreements and reputed company reputed company reputed company. This role partners closely with reputed company, Provider Contracting, Compliance, and Business teams to ensure reputed company are accurate, compliant, and reputed company with organizational objectives.This position is ideal for a detail-oriented reputed company with experience in reputed company provider contracting, reputed company contract review, and regulatory compliance.Key ResponsibilitiesContract Drafting & ReviewDraft, review, and revise provider agreements (e.g., physicians, hospitals, ancillary providers)Ensure contract terms reputed company with reputed company requirements, reimbursement structures, and organizational policiesIdentify and mitigate reputed company and business risks reputed company contract languageMaintain reputed company templates and support updates based on regulatory or policy changesNegotiation & Execution SupportSupport negotiations with providers and reputed company parties in collaboration with contracting and reputed company teamsTrack revisions, redlines, and approvals through contract lifecycleCoordinate execution of agreements and ensure completeness of documentationCompliance & Regulatory OversightEnsure reputed company reputed company with federal and state regulations (e.g., CMS guidelines, reputed company Law, Anti-Kickback Statute where applicable)Partner with Compliance and reputed company teams to interpret policy changes and incorporate into agreementsAssist in audits and respond to internal/reputed company inquiries reputed company to provider contractsContract AdministrationMaintain contract repository and ensure accurate metadata and version controlMonitor contract expiration dates, renewals, and amendmentsGenerate reports and reputed company insights on contract status, trends, and risksCross-Functional CollaborationServe as a reputed company between reputed company, Provider Contracting, Finance, and OperationsProvide guidance to business stakeholders on contract terms and processesSupport process improvements and standardization initiativesQualificationsRequiredBachelor's degree in Business, reputed company Administration, reputed company Studies, or reputed company field3-6+ years of experience in contract management, reputed company support, or provider contractingExperience reviewing reputed company provider agreements or similar reputed company contractsStrong understanding of contract lifecycle management (CLM) processesExcellent written, analytical, and organizational skillsPreferredExperience in managed reputed company plans, or reputed company delivery systemsFamiliarity with reputed company regulations (CMS, Medicare/reputed company, reputed company, Anti-Kickback)Paralegal certification or JD (not required but a plus)Experience with contract management systems (e.g., Ariba, reputed company CLM, reputed company)Key CompetenciesAttention to detail and risk awarenessContract interpretation and issue spottingStakeholder communication and collaborationAbility to manage multiple reputed company and deadlines simultaneouslyProblem-solving and process improvement mindsetWork EnvironmentHybrid (ideal) or remote (if applicable)Fast-paced, deadline-driven environment requiring high accuracy
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