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Sr Provider Contract Specialist
The Sr. Provider Contract Specialist is responsible for network development; negotiating, monitoring and managing the contractual relationships of assigned providers. Working in coordination with Compliance, Legal, Provider Relations, and Credentialing, negotiates and finalizes provider contract language and rates, including amendments for existing contracts and establishment of new ones. Contracts for physician, hospital, ancillary, and LTSS providers for Medicaid, Health Insurance Marketplace, and any other programs Community may develop. Responsible for provider contract compliance, including regulatory network adequacy requirements. Coordinates with Network Management, Claims, and the Provider Data Integrit
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