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Provider Contract Specialist - Community Health Choice - Provider Contracting Department
JOB SUMMARY: Responsible for network development; negotiating, monitoring and managing the contractualrelationship of assigned provider contracts. Working in coordination with Compliance, Provider Relations and NetworkManagement, negotiates and finalizes provider contract language and rates, including amendments for existingcontracts and establishment of new ones. Contracts for physician, hospital, ancillary and delegation of services forMedicaid and any other programs CHC may develop. Responsible for Provider contract compliance. Coordinates withNetwork Management, Claims and Health Services to ensure adequate set up and comprehensive interpretation ofnew contract fees and requirements. Assists with p
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