| Provider Contract Compliance Specialist II Job Description |
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| The following is a full job description for Provider Contract Compliance Specialist II. Here are the requirements and responsibilities for Provider Contract Compliance Specialist II along with statistics. If after reading this page you determine that Provider Contract Compliance Specialist II is not the position you are looking for, you may want to try one of these similar titles: Compliance Specialist II, Provider Contract Management System Administrator II, Provider Onboarding Specialist II, Compliance Specialist IV, Compliance Specialist I, Compliance Specialist V, Compliance Specialist III, Provider Contracting Analyst II, Provider Contract Management System Manager |
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| Requirements and Responsibilities For Provider Contract Compliance Specialist II |
| Responsible for monitoring provider contract compliance. Reviews agreements with payers (insurance) and suppliers to ensure reimbursement and performance align with contract terms. Monitors contract terms, audits for payment accuracy, and investigates potential violations or complaints regarding contract terms. Ensures operations comply with industry laws and regulations. Requires a bachelor's degree. Typically reports to a manager. Occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Typically requires 2-4 years of related experience. |
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| Also referred to as: Provider Contract Compliance Analyst II |
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| Similar Jobs: Compliance Specialist II, Provider Contract Management System Administrator II, Provider Onboarding Specialist II, Compliance Specialist IV, Compliance Specialist I, Compliance Specialist V, Compliance Specialist III, Provider Contracting Analyst II, Provider Contract Management System Manager |
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| Level of Education: Provider Contract Compliance Specialist II Salaries with No Diploma, Provider Contract Compliance Specialist II Salaries with a High School Diploma or Technical Certificate, Provider Contract Compliance Specialist II Salaries with an Associate's Degree, Provider Contract Compliance Specialist II Salaries with a Bachelor's Degree, Provider Contract Compliance Specialist II Salaries with a Master's Degree or MBA, Provider Contract Compliance Specialist II Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
