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Provider Contracting Professional Jobs

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Explore current provider contracting professional jobs. Use filters to narrow by work mode, employment type, experience and date posted.

H
17 days ago

Become a part of our caring community Become a valued member of Humana's Internal Review Team as a Grievances & Appeals Representative 2, where you will play a critical role in addressing client concerns and denials. You will perform thorough reviews of clinical documentation to assess whether grievances, appeals, or additional requests are justified. Then, you will provide final determinations utilizing your expertise and collaboration with clinical and other Humana teams. Your contributions will directly support Humana's commitment to delivering high-quality service and making a positive difference in the lives of those we serve. Must be passionate about contributing to an organization focused on continuously improving consumer experiences. Key Responsibilities: Assign cases to team members for submission to an independent entity for 2nd level review. Monitor and record the number of cases assigned to the team, as well as the distribution of cases among individual associates. Operate within established guidelines to maintain work expectations and quality standards, while exercising discretion in prioritizing tasks and managing timelines with minimal supervision. Demonstrate flexibility and resilience in adapting to evolving processes and a fast-paced work environment. Use your skills to make an impact Required Qualifications Minimum of 1 year of customer service experience Minimum of 1 year of data entry experience Experience in a production-driven environment Must have strong experience using multiple Microsoft systems simultaneously (Teams, SharePoint, Excel, etc.) Ability to manage large volume on inventory daily Preferred Qualifications Previous inbound call center or related customer service experi

REMOTEExcelrecruitmentcustomer service
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H
17 days ago

Become a part of our caring community As a Medical Assistant you will be the first contact for patient care, responsible for administrative responsibilities in addition to patient care. Working onsite in a clinical environment and reporting to the Center Administrator you will perform varied activities and moderately complex administrative, operational, and customer support assignments. Location Address CenterWell Senior Primary Care office located at: 4886 N Dowlen Rd., Beaumont, TX., 77708 You will be reporting to the: Supervisor, Center Administration Job Responsibilities As a Medical Assistant you will perform clinical tasks such as: You will perform pre-visit planning based on patient visit type You will obtain and record medical history and vital signs You will room patients and assist healthcare providers with medical procedures and treatments You will perform specimen collection and point of care testing You will prepare and administer medication under the direction of healthcare provider You will ensure accurate documentation in the electronic health record (HER) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures Required Qualifications An active Certified Medical Assistant/CMA or Registered Medical Assistant/RMA certification from one of the following organizations: AAH, AAMA, AMT, ARMA, MedCa, NAHP, NAHT, NCCT, or NHA Successful completion of MA school/training program or a Certified/Registered Medical Assistant or 5+ years of experience and approval from Provider High school diploma or equivalent 1+ years of MA experience Phlebotomy experience Medication/vaccine administration ex

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We anticipate the application window for this opening will close on - 30 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life At Medtronic, we bring bold ideas forward with speed and decisiveness to put patients first in everything we do. This position is remote to enhance our competitive edge and expand our cross-functional collaboration efforts. This role will require 75% of travel to enhance collaboration and ensure successful completion of projects. In this exciting role as a Principal Field Clinical Specialist, you will provide day-to-day field clinical study support, technical and education support, and site management, coordination and training for the Mitral and Tricuspid Therapies clinical programs. This role will promote clinical programs through education of current and new investigators, new technologies and case support to achieve safe patient outcomes and company objectives . The M&T Structural Heart Business is one of the fastest growing businesses in the medical device industry and expanding rapidly to serve patients globally. The Structural Heart and Aortic integrated operating unit offers <

gcpExcelproject management
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We anticipate the application window for this opening will close on - 30 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role. Our Neuromodulation Operating Unit provides advanced therapies for chronic pain, movement disorders, and other neurological conditions. Through spinal cord stimulation, deep brain stimulation, and targeted drug delivery systems, we deliver personalized treatments that restore function, reduce symptoms, and improve quality of life worldwide. Check us out on LinkedIn: Medtronic Brain Modulation and Pain Interventions At Medtronic, the Clinical Specialist, supports the Neuromodulation Pain and Target Drug Delivery Therapies in the areas of surgical coverage, follow-up support, troubleshooting, customer service and education. This person will be engaged in basic market de

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Our Purpose Mastercard powers economies and empowers people in 200&#43; countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Senior Physical Security Analyst Overview • Physical security and compliance security officer, maintains and monitors physical security policies, standards, and best practices • Abides by Security guidelines relative to security standards to provide safety and security of staff and assets • Manages Security Control Center Coordinators and security operations. • Manages and administers physical security functions for company facilities to ensure the safety; security and protection of MasterCard employees and asset • Recognizes potential and realized security threats and takes reasonable action to mitigate risk or injuries to personnel and or property • Provides MasterCard Corporate Security Standard Operating Guidelines security supervisors and follows-up to ensure adherence • Manages Security officers by delegating department projects, tasks and assignments • Manages Security staff schedules to ensure proper coverage at all times Role • Interaction with employees and guests, provide direction on security policy and visitor directions as needed • Operational use of security systems • Trains and supervises Security officers with respect to the execution of established physical security policies, programs and procedures • Recommends the development and implementation of physical securi

recruitmentcustomer service
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Our Purpose Mastercard powers economies and empowers people in 200&#43; countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Senior Analyst, Finance Business Partner Overview: Mastercard's Technology (TECH) Business Unit operates the company's integrated global payments processing network. TECH uses its expertise to make payments safe, simple, and smart. The TECH Finance team provides financial guidance, analysis, planning, and governance support that enables business leaders to make informed decisions while ensuring compliance with financial reporting requirements. As part of the Software Capitalization team, this role offers a unique opportunity to support Mastercard's internally developed software portfolio and manage the end-to-end software capitalization lifecycle. This includes partnering with stakeholders across Technology, Finance, and Controllership to evaluate technology initiatives, support capitalization decisions, and ensure compliance with Mastercard policy and applicable accounting guidance, including ASC 350-40. The team is also responsible for forecasting and budgeting capitalization-related costs, analyzing actual results against plan, identifying financial risks and opportunities, and providing insights to leadership. Success in this role requires strong analytical skills, collaboration across diverse teams, and the ability to understand both financial concepts and evolving technology initiatives. This role is design

ExcelPower BIaccounting
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We anticipate the application window for this opening will close on - 30 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life Job Specific Summary We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role. Our Neuromodulation Operating Unit provides advanced therapies for chronic pain, movement disorders, and other neurological conditions. Through spinal cord stimulation, deep brain stimulation, and targeted drug delivery systems, we deliver personalized treatments that restore function, reduce symptoms, and improve quality of life worldwide. Check us out on LinkedIn: Medtronic Brain Modulation and Pain Interventions At Medtronic, the Clinical Specialist, supports the Neuromodulation Pain and Target Drug Delivery Therapies in the areas of surgical coverage, follow-up support, troubleshooting, customer service and education. This person will be en

ExcelrecruitmentHR
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We anticipate the application window for this opening will close on - 30 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life At Medtronic, we bring bold ideas forward with speed and decisiveness to put patients first in everything we do. This position is remote to enhance our competitive edge and expand our cross-functional collaboration efforts. This role will require 75% of travel to enhance collaboration and ensure successful completion of projects. In this exciting role as a Principal Field Clinical Specialist, you will provide day-to-day field clinical study support, technical and education support, and site management, coordination and training for the Mitral and Tricuspid Therapies clinical programs. This role will promote clinical programs through education of current and new investigators, new technologies and case support to achieve safe patient outcomes and company objectives . The M&T Structural Heart Business is one of the fastest growing businesses in the medical device industry and expanding rapidly to serve patients globally. The Structural Heart and Aortic integrated operating unit offers <

gcpExcelproject management
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Our Purpose Mastercard powers economies and empowers people in 200&#43; countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Senior Specialist, Product Management - GTM and Enablement Services within Mastercard is responsible for acquiring, engaging, and retaining customers by managing fraud and risk, enhancing cybersecurity, and improving the digital payments experience. We provide value-added services and leverage expertise, data-driven insights, and execution. Overview This Senior Specialist, Product Management will support the commercialization and sales expansion of Operational Intelligence products across one of the five global regions. The role will focus on driving product adoption, identifying customer pain points, supporting sales enablement, and contributing to the development of commercialization strategies. The individual will work closely with regional Advisors & Consulting Services(AC&S) teams and the Global Product Management team to ensure alignment between product capabilities and market needs. The Role •Collaborate with AC&S organization to support product commercialization efforts and drive customer engagement •Assist in identifying short-term and long-term whitespace opportunities and new use cases based on customer feedback and market trends •Support internal and external partnership initiatives to accelerate go-to-market efforts •Contribute to pricing strategy discussions

airecruitment
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M
17 days ago

Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life Responsibilities may include the following and other duties may be assigned. Conducts on-site education and / or consulting. Supports field personnel in providing the best possible outcomes and service for Medtronic customers. Partners with sales colleagues to develop and execute plans of sales for within one or more business unit(s). Participates in conventions, forums, and meetings to increase product awareness. Works closely with Clinical Lead, Clinical Management and Regional Sales team to provide customer case and sales support. Identifies and facilitates execution on growth opportunities with Sales and Clinical Support Team. Serves as a technical resource to support sales of a specific medical product or solution. SPECIALIST CAREER STREAM: Typically an individual contributor with responsibility in a professional discipline or specialty. Delivers and/or manages projects assigned and works with other stakeholders to achieve desired results. May act as a mentor to colleagues or may direct the work of other lower level professionals. The majority of time is spent delivering and overseeing the projects – from design to implementation - while and adhering to policies, using specialized knowledge and skills normally acquired through advanced education. DIFFERENTIATIN

recruitmentHR
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M
17 days ago

Our Purpose Mastercard powers economies and empowers people in 200&#43; countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Analyst, Franchise Services Job Title: Analyst- Franchise Services (Payment Processing Domain) Overview: The GBSC (Global Business Solutions Center) is the shared services organization for Mastercard that provides services to all regions and all business units spanning 50 countries. Consistent with the One LFI model, GBSC is partnering with the Law and Franchise Integrity team to build a Franchise shared services function. An analyst on the Franchise Services team within the GBSC will be responsible for assisting with Franchise initiatives ranging from, but not limited to, supporting Mastercard customers in areas such as compliance or customer onboarding to assisting with process efficiency and reporting projects. Are you comfortable with a changing and fast paced environment? Do you have experience with B2B customers? Are you committed to customer service? Are you agile; do you love challenges and consider the business first? Are you detail oriented? Role • Support B2B customers in navigating payment industry compliance programs and various activities related to on-boarding customers, registration, card design, variance requests and responding to ad-hoc customer requests. • Ensure customer experience and data quality requirements in accordance to customer governance requirements and Master

sqlExcelrecruitment
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Our Purpose Mastercard powers economies and empowers people in 200&#43; countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Manager, Product Management Overview Mastercard Merchant Cloud and Acceptance represent core strategic priorities for the Asia Pacific region. Our mission is to empower acquirers, merchants, payment service providers (PSPs), and payment facilitators by delivering seamless, best-in-class experiences across both digital and in-person commerce. We aim to position Mastercard Merchant Cloud as the leading platform for acceptance. As an integral part of Mastercard’s regional growth strategy, this role will support sales initiatives across Asia Pacific. Key responsibilities include conducting market research and benchmarking, contributing to go-to-market planning, supporting solution commercialization, and engaging in client-related activities. The individual will collaborate closely with cross-functional teams—including Product, Operations, Delivery, Compliance, Legal, Marketing, and other internal partners—to drive execution and deliver strategic outcomes. Role - Support the identification and assessment of potential opportunities for Merchant Cloud across APAC through data analysis and insight generation. - Conduct customer segmentation and lifecycle analysis to identify indicators of expansion, cross-sell, or product adoption potential - Analyze transaction characteristics and market data to suppo

ExcelPower BITableau
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I
Illumina
📍 California• $82.5K – $123.7K/yr
17 days ago

What if the work you did every day could impact the lives of people you know? Or all of humanity? At Illumina, we are expanding access to genomic technology to realize health equity for billions of people around the world. Our efforts enable life-changing discoveries that are transforming human health through the early detection and diagnosis of diseases and new treatment options for patients. Working at Illumina means being part of something bigger than yourself. Every person, in every role, has the opportunity to make a difference. Surrounded by extraordinary people, inspiring leaders, and world changing projects, you will do more and become more than you ever thought possible. *Candidate must be able to work out of our San Diego, Hayward, or Foster City locations* Position Summary This position will support the Regional Project Planning function within Global Facilities and provide facility planning and construction design management to facilitate execution at multiple project scales and delivery methods in an energetic and fast-paced environment. The role is responsible for construction project and renovation space planning, estimation, scheduling, and resourcing. This person will work closely with consultants and internal stakeholders to create functional area program, layout, and to coordinate facility infrastructure support needs. The ideal candidate for this role has proven ability to identify and resolve issues resourcefully and independently, and will work to understand key business drivers, applying this knowledge to decision making. We are looking for your talent, experience and initiative to join our growing team! Specific Responsibilities: Leading feasibility analysis and site master planning studies Tracking 3 year horizon of planned efforts to info

artificial intelligenceaiExcel
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Work Flexibility: Remote Staff Regulatory Affairs Specialist, Mako and Enabling Technologies (Remote) Join Stryker’s Ortho Tech Business and support a portfolio that spans robotics, navigation, imaging, software, and capital equipment technologies. In this role, you will provide regulatory leadership throughout the product lifecycle, partnering with cross-functional teams to support global product development, regulatory submissions, market access, and ongoing regulatory compliance across U.S. and international markets. Work Flexibility: This is a remote position, with a preference for candidates located in the U.S. Eastern Time Zone What You Will Do Develop and execute global regulatory strategies for new products, product changes, and lifecycle management activities. Participate in product development teams to ensure U.S., European, and international regulatory requirements are incorporated throughout all development phases. Evaluate product classifications, regulatory pathways, and jurisdictional requirements for medical devices and related technologies. Author and submit regulatory filings, including FDA submissions, international registrations, and supporting documentation required for product approvals. Review quality, preclinical, and clinical documentation to ensure submission readiness and regulatory compliance. Partner with global regulatory affiliates to support registrations, market expansions, and post-market regulatory activities. Lead interactions with regulatory authorities and notified bodies, including preparation of responses, submissions, and agency communications. Review product labeling, marketing materials, and product claims for compliance with applicable regulatory requirements and mentor junior regulatory team members on regulatory

Work Flexibility: Hybrid I am delighted to share that we are now accepting applications for our Stryker Finance & Accounting Graduate Programme. Start Date: September 2027. Location: Carrigtwohill, Cork. If you are an upcoming or recent graduate in a Level 8 or above Finance or Accounting discipline-based Degree, then this is the opportunity for you! The Finance & Accounting Graduate Programme is a 36-month structured programme that provides participants three 12-month rotations across different areas of our Global Business including: Manufacturing Finance R&D Finance Procurement Finance Financial Accounting & Tax Each rotation will have a different focus where participants will become skilled in various key financial areas , including: Budgeting Forecasting Month End Reporting Balance Sheet Reconciliations Balance Sheet Review Capital Investments New Product Costing Savings Calculation and Analysis Materials Standard Costing Business Case Appraisal Preparation of Statutory financials Irish tax Internal tax reporting External Audit Process What Are We Looking For? Dedicated achievers: People who thrive in a fast-paced environment. Critical Thinkers: The ability to constr

accountingfinanceprocurement
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