-
HealthPartners Minneapolis, United StatesJob Description · HealthPartners is hiring a Provider Relations and Contracting Specialist. This position is the key resource to assigned primary care groups, specialty care groups, hospitals and/or other medical providers ("providers") participating with the organization's heal ...
-
HealthPartners Minneapolis, United StatesHealthPartners is hiring a Provider Relations and Contracting Specialist. This position is the key resource to assigned primary care groups, specialty care groups, hospitals and/or other medical providers (providers) participating with the organiza Relations, Contracts, Specialis ...
-
Contracts Specialist
4 weeks ago
Adams & Martin Group Minneapolis, United StatesAdams & Martin Group is seeking a Contracts Specialist to join a growing oranization in the South Metro. This is a direct hire opportunity with a hybrid work model. · Responsiblities: · Manage the review and processing of standard contracts, ensuring final execution and proper d ...
-
Strategic Sourcing Specialist
4 weeks ago
eTeam Minneapolis, United StatesJob Title: Strategic Sourcing Specialist · Duration: 6+ Months Contract, FTE Conversion Possible · Location: Minneapolis MN 55402 · HYBRID: 3 DAYS PER WEEK IN OFFICE REQUIRED · Pay Range: $30-$40/hr. on w2, without benefits · Job Description: · Education requirements: College De ...
-
Senior Administrative Assistant
2 weeks ago
Hennepin County Hennepin County, United StatesDescription · The Finance division of the Hennepin County Sheriff's Office is seeking a Senior Administrative Assistant. The Finance division works with the Civil division to handle civil process and legal matters. · Current Hennepin County employees who refer a candidate hired ...
-
Assistant General Counsel
4 days ago
Strategic Education Minneapolis, United States Full timeResponsibilities: · Primary responsibility for negotiating and drafting a variety of contracts such as agreements with corporate clients, vendors, and consultants · Draft, revise and enforce policies governing contract review and execution;Manage and optimize contract review proc ...
-
Risk Management Specialist
3 weeks ago
Mindlance Minneapolis, United StatesTitle: Business Execution Consultant / Risk Management Specialist · Location: Minneapolis, MN · Term: 06 months (Possible Contract to Hire) · Grow your career as a Business Execution Consultant with an innovative global bank. 06+ months contract opportunity (with a strong chance ...
-
Manufacturing Engineer
1 week ago
a Medical Devices company located in MN Minneapolis, United StatesManufacturing Engineer (Contract) · RESPONSIBILITIES · Developing, implementing, and continuously improving manufacturing processes to enhance yield, reduce costs, and improve productivity. · Representing Process Engineering in R&D and Project Team meetings, providing technical e ...
-
Commercial Finance Manager
2 weeks ago
adm Group Minneapolis, United Statesadm is seeking a highly technical, commercially savvy Commercial Finance Manager who will act as a true business partner, implementing change, gaining trust, and delivering highly complex finance information in a succinct and clear manner to non-finance individuals. This role wil ...
-
Security Professional
6 days ago
Honeywell Minneapolis, United StatesDriving Infinite Possibilities Within A Diversified, Global Organization · Security Professional - Assistant Facility Security Officer (AFSO) · The Assistant Facility Security Officer (AFSO), a critical member of Honeywell Government Security Compliance (GSC), ensures compliance ...
-
Contract Services Analyst
1 week ago
Hennepin County Hennepin County, United StatesDescription · Hennepin County Housing and Economic Development is seeking a Contract Services Analyst to join its Housing Development and Finance division. The Housing team at Hennepin County works to ensure a full continuum of housing options are available to County residents, ...
-
Risk Control Consultant
3 weeks ago
Motion Recruitment Minneapolis, United StatesOutstanding long-term contract opportunity A well-known Financial Services Company is looking for a Risk Controls Consultant in Minneapolis, MN (Hybrid). · Work with the brightest minds at one of the largest financial institutions in the world. This is a long-term contract opport ...
-
Manufacturing Quality Engineer
2 weeks ago
Cypress HCM Minneapolis, United StatesA cutting-edge medical parts manufacturer in the Twin Cities is looking to bring on a direct hire, onsite Quality Engineer. This person will ideally come from Swiss Machining or Thermoplastics and will oversee all quality activities related to transfer of development activities, ...
-
Developer - (onsite)
3 weeks ago
Equity Staffing Group Plymouth, United StatesContract to hire opportunity with a leader in the energy space. The role will initially be a contract, with the goal of having someone come on full time after 3-6 months. · Target salary after contract is $110-120k · **Please note, this role will be onsite 4 days/week with one re ...
-
Facilities Project Manager
2 weeks ago
Hennepin County Hennepin County, United StatesDescription · Hennepin County's Engineering and Energy Management division within Facility Services department is seeking a Facilities Project Manager to administer and monitor engineering and energy consultants, contractors, and projects. This position will also coordinate the ...
-
Project Manager
3 days ago
Motion Recruitment Minneapolis, United StatesOutstanding long-term contract opportunity A well-known Financial Services Company is seeking a Project Manager in Minneapolis, MN (Hybrid). · Work with the brightest minds at one of the largest financial institutions in the world. This is a long-term contract opportunity that in ...
-
Application Developer
2 weeks ago
ITC Infotech Minneapolis, United StatesRole: Peoplesoft Application Developer, with Boomi · Location: Minneapolis, Minnesota · Hybrid work environment · 6-month contract · The Application Developer will be responsible for: · Collaborate with the Administrative Applications Manager and Team Lead to take direction · ...
-
Project Manager
2 weeks ago
Building Assets Minneapolis, United StatesProject Manager · Location: Minneapolis, Minnesota · Job Description: · Building Assets, LLC is seeking an outgoing and motivated Project Manager with a minimum of 5 years of experience in commercial construction. · The Project Manager will oversee all aspects of the general cont ...
-
Fire Service Sales Rep
2 weeks ago
Johnson Controls International Plymouth, United States Full timeWhat you will do · The primary function of this position is to promote and sell service agreements for commercial building systems products to include fire alarm, suppression, sprinkler, security, sound, communication and inspections. Determine customer needs and develop sales s ...
-
Revenue Recognition Manager
2 weeks ago
Arcserve Minneapolis, United StatesWho is Arcserve? We provide exceptional solutions to protect the priceless digital assets of organizations in need of full scale, comprehensive data, and ransomware protection. Established in 1983, Arcserve is the world's most experienced provider of business continuity solutions ...
Service Specialist, Provider Relations and Contracts - Minneapolis, United States - HealthPartners
Description
Job DescriptionHealthPartners is hiring a Provider Relations and Contracting Specialist.This position is the key resource to assigned primary care groups, specialty care groups, hospitals and/or other medical providers ("providers") participating with the organization's health plan networks.
To maximize the efficiencies and quality of our provider relationships, this position will act as a facilitator to resolve provider inquiries and will assist provider staff in understanding and implementing new and existing HPI products, policies, procedures and systems.
This position plays a key role in contract support through fee schedule and contract implementation.ACCOUNTABILITIES:
Provide excellent customer service to assigned providers by:Researching and addressing questions related to provider payment, network participation, plan products and programs, and administrative policies and proceduresServing as liaison between HPI and assigned providers to resolve member concerns in a timely mannerGuiding new provider groups through the onboarding processes necessary to join the HPI networkThis includes preparing and coordinating legal contract documents in accordance with the Minnesota Department of Health, government programs, accreditation, and other regulatory agency requirementsThis may include supporting the coordination and implementation of new strategic provider partnerships for designated HPI products with use of a work plan and teamwork with other key HPI departments.
Providing pro-active and on-going communication and education to designated provider staff regarding HPI products, policies, procedures, and systems.This is done through regularly scheduled meetings, ad hoc meetings, phone calls, or special presentations arranged and/or led by HealthPartners staffProvider staff is defined as business office personnel, receptionists, training staff, referral management staff, physicians, other medical staff, clinic managers, and administrators.
Research, prepare, and communicate provider demographics, network set-up, and reimbursement rates to other departments to ensure internal operations reflect the most current provider information.
The Service Specialist will communicate this data via current systematic processes or electronic forms to the Claims department and other teams.
Participate in contract negotiation meetings, identifying administrative requirements necessary for successful implementation of legal contracts.Collaborate and problem-solve with internal HPI departments to improve administrative efficiencies that will allow the providers to successfully deliver care to HPI members, to improve contracting opportunities for cost savings and/or to improve administrative interfaces.
Other departments include Claims, Member Services, Provider Data Support, Electronic Commerce, Medical Policy, Utilization Management, Contracted Care Finance, Government Programs, Clinical Pharmacy Services, Other Contracting Departments, and Sales and Marketing.
Complete special projects that are identified through provider relationships, HPI Directors, Contract Managers, or Contract Consultants.Example projects include:
Devising administrative policies and online tools for provider useUpdating provider resource materials, including new product information documentsCoordinating the implementation of electronic connectivity programsCreating new provider reportsStreamlining internal processes that involve several internal departmentsDeveloping and implementing audit procedures to determine that contracts have been implemented correctly on the HealthPartners claims processing system
REQUIRED QUALIFICATIONS:
Bachelor's degree.
Three to five years of managed care experience in a member service, medical management, provider relations, or claims position.
Strong verbal and written communication skills.
Excellent problem identification and problem-solving skills.
History of establishing diplomatic working relationships with providers and co-workers.
Intermediate level PC skills.
Strong organizational skills and ability to work independently.
Current, valid, unrestricted Driver's License (in the state of residence) free of major traffic violations or a pattern of repeated violations for the last 3 years and daily access to a reliable, insured vehicle.
PREFERRED QUALIFICATIONS:
Four years of provider relations experience in a managed care setting (HMO, PPO).Provider perspective as evidenced by two years experience in a healthcare setting.
DECISION MAKING:
Resolve provider inquiries to the provider's satisfaction and/or understanding.
Predict and identify problem areas for providers as they implement new HPI processes. Work with providers and internal HPI departments to coordinate operations of the new process.
Identify appropriate resources for setting new systems in place for providers.
About UsAt HealthPartners we believe in the power of good - good deeds and good people working together.
As part of our team, you'll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.
We're a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin.
We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.
At HealthPartners, everyone is welcome, included and valued.We're working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.
Join us and become a partner for good, helping to improve the health and well-being of our patients, members and the communities we serve.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.
Service Specialist, Provider Relations and Contracts professionals in Minneapolis
-
Ryan Farrell
Treasury Management