- Assesses network needs, analyzes network composition, and using organization databases, application of regulatory requirements, accreditation entities and other resources, recruits individual, group and/or organizational providers to meet network adequacy standards and assure quality network.
- Conducts and coordinates contracting and amendment initiatives.
- Provides issue resolution and complex trouble shooting for providers.
- Conducts provider education and provider relation activities, providing necessary written materials.
- Conducts administrative provider site visits and coordinates report development and completion according to contractual requirements or ad hoc requests.
- Coordinates Public Policy Research Center (PPRC) activities to assure maintenance of current credentialing status, and evaluation and appropriate actions of quality of care issues and complaints against providers.
- Conducts and manages ongoing audits of provider compliance with Magellan policies and procedures as well as contractual obligations for multiple customers. Develops work plans to address audit requirements.
- Works with management to draft, clarify and recommend changes to policies which impact network management.
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Contracts Specialist
1 day ago
Sigma Science Albuquerque, United StatesJob Description Job Description Description/Job SummaryWhere You Will Work:Sigma Science Inc. (Sigma) is a growing Engineering and Technology company focused on making the world safer, cleaner, and more secure through engineering, innovation, and science. We have over 22 years of ...
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Contract Specialist
13 hours ago
U.S. Army Contracting Command Albuquerque, United StatesLocation field must contain 'city, state' or a zip code to perform a radius search (e.g., · Denver, CO · or · City and state must be separated by a comma followed by a space (e.g., · Houston, TX ) · U.S. Army Contracting Command · Contract Specialist · in · White Sands Mis ...
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Contract Specialist
1 week ago
U.S. Army Contracting Command Albuquerque, United StatesU.S. Army Contracting Command · Contract Specialist · White Sands Missile Range , · New Mexico · Apply Now · Summary Please limit your resume to 5 pages. If more than 5 pages are submitted, only the first 5 pages will be reviewed to determine your eligibility/qualifications. ...
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Contracts Specialist
3 weeks ago
Lovelace Biomedical Research Institute Albuquerque, United StatesUnder general supervision, the Contracts Specialist provides technical assistance to scientific and administrative staff with grant and contract development and administration for Federal, private and industry sponsors in a fast paced, team-oriented environment. · The Contracts ...
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Contracts Specialist
2 weeks ago
Sigma Science, Inc. Albuquerque, United StatesJob Description · Job DescriptionDescription/Job Summary · Where You Will Work: · Sigma Science Inc. (Sigma) is a growing Engineering and Technology company focused on making the world safer, cleaner, and more secure through engineering, innovation, and science. We have over 22 y ...
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Contracts Specialist
13 hours ago
Magellan Health Albuquerque, United StatesThis position is responsible for the support of all activities related to developing and maintaining the physician, practitioner, group, and/or facility, MPPS and organization services delivery system in small to mid-size market defined by membership, number of providers in deliv ...
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Contract Specialist
13 hours ago
City Of Albuquerque Nm Albuquerque, United StatesSalary : $44, $48,339.20 AnnuallyLocation : Albuquerque, NMJob Type: Full TimeJob Number: Department: AviationDivision: AV-Pub AffOpening Date: 05/30/2024Closing Date: 6/13/2024 11:59 PM MountainBargaining Unit: MPPosition SummaryPrepare, review and monitor contracts, agreements ...
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Supervisory Contract Specialist
3 weeks ago
National Nuclear Security Administration Albuquerque, United StatesSummary · You will serve as the Director, Contracting Operations Division, Office of Partnership and Acquisition Services, leading ~55 acquisition and grant management professionals in the implementation of DOE/NNSA acquisition activities to acquire goods and services for NNSA t ...
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Purchasing: Contracts Specialist
2 weeks ago
The University of New Mexico Albuquerque, United States Full timePosition Summary · The University of New Mexico, Office of the University Controller, also known as Financial Services, located on Main Campus is responsible for all central accounting functions for the University. · It is the responsibility of the Controller's Office aka Financ ...
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Contracts Specialist, Senior
3 weeks ago
Lovelace Biomedical Research Institute Albuquerque, United StatesOverview: · Reporting to the Contracts Manager and under general direction, the Senior Contracts Specialist will provide technical and administrative contracts support to scientific and administrative staff in support of the Institute's mission. · The Senior Contracts Specialis ...
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Contract Specialist/DMD
2 weeks ago
City of Albuquerque New Mexico Albuquerque, United StatesCoordinate, review, monitor, and finalize construction bid documents, contracts, and inter-governmental agreements; serve as administrative focus for Construction Contract matters and issues; coordinate with Department of Municipal Development manage Specialist, Contracts, Monito ...
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Contracts Specialist, Senior
1 week ago
Lovelace Biomedical Research Institute Albuquerque, United StatesOverview: · Reporting to the Contracts Manager and under general direction, the Senior Contracts Specialist will provide technical and administrative contracts support to scientific and administrative staff in support of the Institute's mission. · The Senior Contracts Specialist ...
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Contracts Specialist L3
1 week ago
Galapagos Federal Systems Albuquerque, United StatesJob Title: · Contracts Specialist L · Job Location: · Kirtland AFB, NM 87117 · Job Summary · Galapagos Federal Systems LLC is looking for an enthusiastic, well-qualified individual to fill the level three Contracts Specialist position and to join our team of qualified, diver ...
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Contracts Specialist L3
3 weeks ago
Galapagos Federal Systems, LLC Albuquerque, NM, United StatesJob Title: Contracts Specialist L3 -4721 · Job Location: Kirtland AFB, NM 87117 · Job Summary · Galapagos Federal Systems LLC is looking for an enthusiastic, well-qualified individual to fill the level three Contracts Specialist position and to join our team of qualified, div ...
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Contracts Specialist I
13 hours ago
Chenega Corporation Albuquerque, United States**Summary** · Come join a company that strives for _Extraordinary People and Exceptional Performance_ **Chenega Professional & Technical Services, LLC,** a **Chenega Professional Services** company, is looking for a **Contracts Specialist I** to provide acquisition support servi ...
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Supervisory Contract Specialist
13 hours ago
U.S. Army Contracting Command Albuquerque, United StatesU.S. Army Contracting Command Supervisory Contract Specialist White Sands Missile Range , New Mexico Apply Now Summary Please limit your resume to 5 pages. If more than 5 pages are submitted, only the first 5 pages will be reviewed to determine your eligibility/qualifications. Ab ...
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Contracts Specialist L3
2 days ago
Keenbee Talent Soluitions Albuquerque, United StatesOur client has an immediate need for a · Contracts Specialist · to join their team in · Albuquerque, NM . · MUST HAVE A TS/SCI TO BE CONSIDERED FOR POSITION · Job Duties: · Manage contract process on assigned contracts from end-to-end with internal business owners and stake ...
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Contracts Specialist L3
13 hours ago
Keenbee Talent Soluitions Albuquerque, United StatesOur client has an immediate need for a Contracts Specialist to join their team in Albuquerque, NM. · MUST HAVE A TS/SCI TO BE CONSIDERED FOR POSITION · Job Duties: · Manage contract process on assigned contracts from end-to-end with internal business owners and stakeholders and ...
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Contract Specialist/DMD
2 weeks ago
City of Albuquerque, NM Albuquerque, United StatesPosition Summary · Coordinate, review, monitor, and finalize construction bid documents, contracts, and inter-governmental agreements; serve as administrative focus for Construction Contract matters and issues; coordinate with Department of Municipal Development management, Legal ...
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Contract Specialist/DMD
3 weeks ago
City of Albuquerque, NM Albuquerque, United StatesSalary : $44, $48,339.20 Annually · Location : Albuquerque, NM · Job Type: Full Time · Job Number: · Department: Municipal Development · Division: MD-CIP IDOH Projects · Opening Date: 04/09/2024 · Closing Date: 5/12/2024 11:59 PM Mountain · Bargaining Unit: MP · Position ...
Contracts Specialist - Albuquerque, United States - VetJobs
Description
Job DescriptionATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. Unless specifically stated otherwise, this role is "On-Site" at the location detailed in the job post.
This position is responsible for the support of all activities related to developing and maintaining the physician, practitioner, group, and/or facility, MPPS and organization services delivery system in small to mid-size market defined by membership, number of providers in delivery system, number of business operating units and lines of business. Interacts with all areas of organization to coordinate network management and network administration responsibilities.
Other Job Requirements
Responsibilities
Knowledge of National Committee for Quality Assurance (NCQA) requirements.
Ability to work independently and prioritize activities.
Intermediate knowledge of Microsoft Office Suite, specifically Excel.
Strong presentations skills using PowerPoint.
Minimum of 1 year experience in related position/field.
General Job Information
Title
Contracts Specialist
Grade
21
Work Experience - Required
Network
Work Experience - Preferred
Education - Required
Education - Preferred
Bachelor's
License and Certifications - Required
License and Certifications - Preferred
Salary Range
Salary Minimum:
$45,655
Salary Maximum:
$68,485
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.