Related skills
data analytics negotiation regulatory complianceπ Description
- Negotiate and manage contracts with healthcare providers to build a national ancillary network.
- Analyze provider performance and negotiate reimbursement rates.
- Navigate complex contract terms and regulatory compliance.
- Recruit national ancillary providers and resolve provider issues.
- Support contracting policies, workflows, and KPI reporting.
- Collaborate with Claims, Credentialing, and Contracting teams.
π― Requirements
- 2+ years in provider network operations or contracting.
- 1+ years in Health Insurance and/or Healthcare industry.
- 1+ years experience navigating large datasets such as claim files and provider rosters.
π Benefits
- Medical, dental, and vision benefits.
- Paid holidays and paid time off.
- 401(k) plan participation.
- Life and disability insurance.
- Unlimited vacation program.
- Annual performance bonuses.
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