Related skills
data analytics credentialing contracting regulatory compliance provider networkπ 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.
π― 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.
π Benefits
- Employee benefits, medical/dental/vision.
- Unlimited PTO.
- 401(k) retirement plan participation.
- Paid holidays.
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