JSG (Johnson Service Group, Inc.) · 2 days ago
Managed Care Contracts Specialist
Orange, CA, US
Full-time
Onsite
Entry Level
2+ years expJSG is a North American leader in the staffing and consulting services industry, and they are seeking a Healthcare Plan Contracts Specialist for a 6 month-onsite consulting opportunity. The role involves evaluating out of network requests, negotiating patient agreements, and assisting with contract management.
B2BConsultingHuman ResourcesInternetStaffing Agency
Responsibilities
Contract Support
Evaluates out of network requests from medical management, assesses in-network providers for redirection and attends daily staff meetings to discuss outcomes
Negotiates single patient agreements for members directed out of network and serves as a point of contact for provider inquiries
Assists Contracts Managers with contract creation, distribution and collection of outstanding contract documents
Maintains electronic library of provider contacts and contracts on shared drive and contract management system/database
Responds to inquiries regarding contract status, network rosters, provider reimbursement and application/credentialing status in a timely manner
Qualification
Required
Associate degree PLUS 2 years of work experience related to managed care or related field required; an equivalent combination of education and experience sufficient to successfully perform the essential duties
Preferred
Experience negotiating single patient agreements, professional and ancillary contracts
Experience with elementary data analysis
Benefits
Medical
Dental
Vision
Life insurance options
Short-term disability
401(k)
Weekly pay
More
Company
JSG (Johnson Service Group, Inc.)
Johnson Service Group, Inc.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Greg Thullner
Chief Operating Officer
Dale Slater
Principal
Recent News
2026-01-16
2025-09-16
MarketScreener
2025-08-01
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