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Contract Specialist
4 days ago
L.K. Jordan & Associates Houston, United StatesMain Responsibilities: · • Review, prepare and record Contract qualifications for each applicable set of client contract terms (MSAs and standalone orders, change orders) and co-ordinate negotiation process to close out all exceptions suitably in line with allocated commercial bu ...
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Contract Specialist
3 weeks ago
Momentum Search Partners, Legal Search and Staffing Houston, United StatesOur client - a successful real estate development firm - is seeking a Contracts Specialist to join their in-house legal team. This person will be supporting/working closely with the Director of Contracts and Risk Management to execute the legal departments short-term and long-ter ...
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Contract Specialist
2 weeks ago
The Reserves Network Inc Houston, United StatesJob Description · Job DescriptionEnter the role as a Contract Specialist. You will unlock endless possibilities for yourself, our client company, and the community they serve. You will strengthen a proactive environment and initiate renewal actions on current contracts, memorandu ...
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Contracts Specialist
2 weeks ago
TopSpot Internet Marketing Houston, United StatesJob Description · Job DescriptionThe Role · The TopSpot Contracts Specialist plays a vital role in the financial operations of TopSpot by ensuring the accuracy, preparation, and organization of Contracts within the organization. A successful Contracts Specialist candidate should ...
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Contract Specialist
4 weeks ago
Ultimate Staffing Houston, United StatesUltimate Staffing is searching for a Contracts Specialist for our client located in Northwest Houston. This position reports directly to the President and General Manager of the USA division. Leading in the Oil & Gas equipment supplier industry, our client is growing and adding t ...
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Contract Specialist
3 weeks ago
Momentum Search Partners, Legal Search and Staffing Houston, United StatesOur client - a successful real estate development firm - is seeking a Contracts Specialist to join their in-house legal team. This person will be supporting/working closely with the Director of Contracts and Risk Management to execute the legal department's short-term and long-te ...
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Contract Specialist
3 weeks ago
Ultimate Staffing Services Houston, United StatesJob Description · Job DescriptionUltimate Staffing is searching for a Contracts Specialist for our client located in Northwest Houston. This position reports directly to the President and General Manager of the USA division. Leading in the Oil & Gas equipment supplier industry, o ...
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Contract Specialist
19 hours ago
Bickham Services Unlimited, LLC Houston, United StatesCONTRACT SPECIALIST - MANAGER · Location: Houston, TX (On-Site) · Type: Government · General Description · Performs highly complex (mid-level) contract assistance and review work. Works under limited supervision, with considerable latitude for the use of initiative and indepe ...
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Contract Specialist
1 week ago
US Army Houston, United StatesU.S. Army Medical Command Contract Specialist Fort Sam Houston , Texas Apply Now Summary About the Position: This position is with the U.S. Army Medical Command (MEDCOM), Health Care Acquisition Activity (HCAA), Medical Readiness Contracting Office - West, located at Fort Sam Hou ...
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Contract Specialist
1 day ago
Perry Homes Houston, United StatesWe are pleased to announce the relocation of our corporate headquarters to Greenway Plaza's Phoenix Tower in Houston's Upper Kirby neighborhood. · The Contract Specialist will collaborate with the Contracts Management Team to execute the Legal Department's short-term and long-te ...
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Contract Specialist
1 week ago
US Army Houston, United StatesU.S. Army Medical Command · Contract Specialist · Fort Sam Houston , · Texas · Apply Now · Summary About the Position: This position is with the U.S. Army Medical Command (MEDCOM), Health Care Acquisition Activity (HCAA), Medical Readiness Contracting Office - West, located ...
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Contracts Specialist
1 day ago
Istituto Marangoni Houston, United StatesNational Oilwell Varco (NOV) is a leading provider of technology, equipment, and services to the global oil and gas industry that supports customers full-field drilling, completion, and production needs. Since 1862, NOV has pioneered innovations that improve the cost-effectivenes ...
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Contracts Specialist
1 day ago
NOV, Inc. Houston, United StatesJob Description · National Oilwell Varco (NOV) is a leading provider of technology, equipment, and services to the global oil and gas industry that supports customers' full-field drilling, completion, and production needs. Since 1862, NOV has pioneered innovations that improve t ...
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Contract Specialist
1 week ago
Westinghouse Electric Company Houston, United StatesPosition Description: · Will work collaboratively within the Sourcing & Contract Management team and across Supply Chain Services meeting with customers routinely and proactively to identify sourcing and contract value opportunities. · Responsible for assisting managers with sou ...
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Legal Contract Specialist
2 weeks ago
MD Anderson Cancer Center Houston, United States Full timeSUMMARY · The Legal Contract Specialist performs activities associated with business transactions involving or affecting MD Anderson, specifically including the development, negotiation, documentation, execution and modification of (a) sponsored/supported research related agree ...
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Contracts Specialist II
5 days ago
Rice University Houston, United States Full timeSpecial Instructions to Applicants: All interested applicants must attach a cover letter and a resume in the Supporting Documents section of the application in a PDF format. Please note that the applicant tracking system does not convert attachments in Word format successfully. ...
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Commercial Contracts Specialist
3 weeks ago
TBG | The Bachrach Group Houston, United StatesTBG | The Bachrach Group Houston is partnered with one of the leading oil and gas companies globally on their search for a COMMERCIAL CONTRACTS SPECIALIST. This role requires at least 4 years of experience in contracts / agreement administration as well as cost analysis review an ...
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Contract Specialist II
3 weeks ago
Texas Department of Aging & Disability Services Houston, United StatesJob Description: · Contract Specialist II · The Texas Health and Human Services Commission (HHSC) seeks highly qualified candidates to fill the Contract Specialist II position with Community Services (CS), Community Care Services (CCS), Community Care Services Contracts (CCSC) Se ...
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Contract Compliance Specialist
2 weeks ago
Surveying And Mapping, LLC Houston, United StatesAs a Contract Compliance Specialist, you will maintain construction project records and process related paperwork, monitor records to verify compliance with state and federal laws and determine payments due contractors for work completed. You will in Compliance Specialist, Compli ...
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Senior Contracts Specialist
1 week ago
DSJ Global Houston, United StatesSenior Contracts Specialist · Houston, TX · 4 days on-site, 1 day WFH · Seeking a Senior Contracts Specialist who will be responsible for establishing a Contracts Lifecyle Management Process that contributes to reducing contractual risk and increasing operational efficiency. The ...
Managed Care Contract Specialist - Houston, United States - Memorial Hermann Health System
Description
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community.
We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency.
If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job SummaryResponsible for building, loading, testing and maintaining hospital third-party payer contracts in the contract modeling system.
Accountable for analyzing relevant data and translating into reporting to support necessary determinations of adjustment to ensure maximization of values for contract negotiation purposes, and ultimately final agreed reimbursement, meeting System financial and operational expectations.
Participates in active third-party payer negotiation discussions representing modeling work product through necessary iterations of rate modeling and analysis.Job Description
MINIMUM QUALIFICATIONS
Education:
Bachelor's degree in Business Administration, Finance, or Accounting preferred.
Licenses/Certifications:
Required to complete training and become certified in the applicable EPIC applications within the first 90 days of employment to include Resolute Hospital Billing Expected Reimbursement Contracts Administration.
Experience / Knowledge / Skills :
Three (3) years' experience in hospital contract modeling required (preferably in Payment Integrity Compass (PIC) or Epic).
Effective oral and written communication skills.
Ability to analyze, problem solve and apply critical thinking in a fast-paced environment.
Strong organizational skills with the competency to work independently as well as part of a team, and prioritize responsibilities.
Must possess proficient Excel skills (i.e. pivots, v-lookup functions).
PRINCIPAL ACCOUNTABILITIES
Accurately loads, tests, and maintains executed hospital contracts in the contract modeling system, which subsequently flows into System financial adjustments, netting accounts receivable at time of billing.
Performs prospective modeling of proposed contracts, rate structure/value scenarios, and other changes impacting reimbursement to support payer negotiations in addition to daily operations.
Analyzes and determines the financial impact of government (federal and state) and commercial fee schedule/reimbursement changes to develop proposed adjustments (what if scenarios) to support negotiations.
Generates standard and ad-hoc reporting allowing for critical decision-making specific to hospital reimbursement and associated impacts.
Supports Managed Care Contract Administrators with identification of opportunities, risks, errors, etc. in payer reimbursement proposals and counter-proposals for comprehensive value review and accuracy.
Serves as a Subject Matter Expert (SME) in conjunction with the Managed Care Contract Administrator relevant to facility and/or professional contract reimbursement.
Collaborates with the Revenue Cycle, Finance, Government Reporting and various other internal stakeholder departments to address contract variances, discrepancies, and contributes as appropriate in other third-party payer contract reimbursement related projects.
Identifies potential process improvement opportunities, initiating projects to improve internal operations.
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann System policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
Other duties as assigned.
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