Senior Specialist, Network Contracting

Added
2 days ago
Type
Full time
Salary
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Related skills

data analytics credentialing contracting regulatory compliance provider network

πŸ“‹ Description

  • Resolve issues and negotiate contracts with providers per standards and regs.
  • Use data analytics on provider finances and competitor strategies for decisions.
  • Meet metrics and SLAs for provider outreach and contract completion.
  • Build and maintain positive provider relationships; ensure timely resolutions.
  • Collaborate with provider services on servicing, education and communication.
  • Support provider onboarding, training, and resource distribution.

🎯 Requirements

  • 2+ years in provider network operations or contracting.
  • 1+ years in Health Insurance or Healthcare industry.
  • 1+ years experience navigating large datasets (claims, provider rosters).
  • Associates degree or equivalent professional working experience.

🎁 Benefits

  • Employee benefits, medical/dental/vision.
  • Unlimited PTO.
  • 401(k) retirement plan participation.
  • Paid holidays.
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