Provider Contract Specialist--Remote/North Carolina

Date Posted: 06/22/2022


Equity Staffing is searching for a Remote Provider Contract Specialist in North Carolina. This position is with a Fortune 500 organization. Our client serves more than 85 million people and has a reputation for bold ideas. If you enjoy working with energetic people in a collaborative environment, we want to speak with you!

*** Position is 100% Remote, However candidates must reside in the state of North Carolina ***

Specific Duties:
Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls
Ensure that network composition includes an appropriate distribution of provider specialties and services through recruitment.
Collaborate with the Regional Contracting Team, Provider Relations Team and Project Managers to assure recruitment goals are met and smooth transition of work back to the Regions once the recruitment is complete.
Complete network builds primarily in the Medicaid space while supporting Medicare and Commercials network builds as assigned.
Clearly communicate the status of network builds to internal and external customers.
Contribute to a team environment that is compassionate, supportive, inclusive and goal driven.

Must have qualifications/experience:
Undergraduate degree or 5 years equivalent experience
3+ years of experience in a network management related role, such as contracting and/or provider services
Knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, OP Fee Schedules, Mental Health Coding, etc.
2+ years of experience with provider and/or hospital contracting (Medical and/or Behavioral Health
Ability to work independently and with a team
Medicaid, Medicare, and Commercial Contracting experience for Behavioral Health
Facility and OP Contract Negotiations is a plus
Experience reviewing and providing alternative contract language
Knowledge of SalesForce
Medical Office Experience
Medical Terminology
Problem Solving Skills
Experience working in a fast paced team environment
Great Multitasker
Positive Attitude
Good Typing Skills
Great Customer Service Skills
Attention to Detail
Strong Organizational Skills
Effective communication skills both written and verbal
Strong computer skills
Proficient in Microsoft Office Suite of Tools.
Critical thinking skills.
Ability to work with others.

Remote/Onsite: Remote in North Carolina


Equity Staffing Group is one of the fastest growing Native American owned staffing companies in the United States. We are a certified Minority Business Enterprise (MBE) by the National Minority Supplier Development Council (NMSDC) and the Rocky Mountain Minority Supplier Development Council (RMMSDC).

Equity Staffing Group is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. Equity Staffing Group will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

We welcome you to learn more about our company by visiting www.equitystaffing.com.


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Testimonials

"I was so impressed with the outstanding service that Equity Staffing provided in placing me in my current position.  I wasn’t sure I would be a good candidate for this position, but my recruiter and Equity’s Account Manager took the time to go over the job description and how my experience and skill set would fit in perfectly with this job assignment.  I am glad I took their advice, because I am now on contract with a great company working with a professional staff and learning how to support a management team in an industry I have never worked in before.” 

Lisa M.

Denver, CO

“I’ve been an IT contractor for 9 years, and in that time I’ve been exposed to numerous IT staffing firms and consulting agencies, big and small.  Equity impressed me immediately.  My recruiters quickly and efficiently connected me with a great tech company whose needs in both personality and tech proficiency matched my wheelhouse in addition to a healthy dose of career progressing tech challenges.  And a 12 minute drive from my house no less.  That’s huge for me.  They were willing to meet face to face before the client company interview which, in my experience, is critical to the staffing firm / contractor relationship.  Equity is organized, modern, and professional, and my recruiters were very pleasant to work with, responsive, and generous with their time.  I’m grateful for all they’ve done for me.”

Christopher S.

Minneapolis, MN

“Working as a consultant for Equity Staffing Group has been a wonderful experience.  My recruiter was a true professional throughout the entire process.  Equity separates itself from other staffing companies I have worked with in past because they provided wonderful customer service, they had benefits offerings,  the onboarding was easy and efficient but best of all they followed up with me prior to my assignment ending and found my next assignment shortly afterward.  I highly recommend the professionals at Equity Staffing Group!”

Tamika B.

Atlanta, GA

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