[Remote] Provider Contract Specialist

Remote, USA Full-time
Note: The job is a remote job and is open to candidates in USA. TruHearing is a mission-based organization that improves people's lives through hearing healthcare solutions. The Provider Contract Specialist role focuses on expanding and managing a national Medicaid network by building relationships with healthcare providers and ensuring compliance with industry regulations. Responsibilities • Drive demand for TruHearing within assigned territory by proactively reaching out to Medicaid and Medicare network providers by phone and video conference to build relationships, communicate the value proposition of partnering with TruHearing, address barriers or concerns, and secure the partnership. • Achieve sales quota on a monthly, quarterly, and annual basis. • Analyze coverage across the company’s hearing care provider network, design plans and creative solutions to close geographic or strategic gaps in coverage. • Negotiate contracted rates and terms with hospitals, universities and hearing health providers. • Ensure contracts align with Medicaid reimbursement structures and state-specific guidelines • Develop and execute single-case agreements for out-of-network or specialized services • Maintain a deep clinical knowledge of hearing aid products as needed to provide the necessary education to providers. This includes but is not limited to Oticon, Phonak, Resound, Signia, Starkey and Widex; including software and hardware benefit advantages • Partner with the Sales and Account Management team to support Medicaid expansion and retention goals of the Health Plans. • Maintain alignment with Network Management, Legal, Sales and Account Management, and Operations teams through collaboration meetings. • Work effectively with territory counterparts to execute plans, prospect, develop and grow the business. Skills • Bachelor's degree in related field and three (3+) years of experience in healthcare provider contracting. • Strong contracts negotiation skills, analytical skills, and interpersonal skills. • Familiarity with Medicaid reimbursement methodologies and managed care principles. • Bachelor's degree in related field and five (5+) years of experience in healthcare provider contracting. • Experience working with managed care contracts, preferably Medicaid. Benefits • Health coverage • A fully vested 401k match • Education assistance • Fully paid long and short-term disability • Paid time off • Paid holidays Company Overview • TruHearing provides digital hearing instruments to members and their families through contracted health plans and enrolled employer groups. It was founded in 2003, and is headquartered in West Jordan, Utah, USA, with a workforce of 201-500 employees. Its website is Apply tot his job
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