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Provider Contractor - Specialist
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- The Provider Contractor - Specialist is responsible for identifying, recruiting, and contracting individual physicians physician groups ancillary facilities, and other medical provider groups to join the Prime Health Services' PPO network with per product, defined contractual reimbursement rates contained within defined parameters that meet/exceed industry expectations.
- The contracting process, based primarily on client nominations, includes negotiations focused on workers' compensation, commercial group health, auto liability, and personal injury.
- Contacting (call/email) medical providers to negotiate managed care PPO contracts, ensuring a cost effective contract in compliance with all State, provider, and corporate requirements
- Entering progress reports and notations regarding contracting efforts into Prime's proprietary database
- Elevating requests for contractual language change to the Director of Provider Contracting
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