Provider Engagement Administrator III
September 26
Description
• Acts as a liaison between Tier I providers and the health plan • Manages Network performance for assigned territory • Drives provider performance improvement • Evaluates provider performance and develops strategic plan • Facilitates provider trainings and coaches for performance improvement • Educates providers regarding policies and procedures • Acts as a lead for external representatives • Coaches and trains external representatives • Leads special projects as assigned
Requirements
• Bachelor’s degree in related field or equivalent experience • Five + years of combined provider relations, provider claims/reimbursement, or contracting experience • Knowledge of health care, managed care, Medicare or Medicaid • Claims billing/coding knowledge preferred • Must have prior customer service experience and insurance Claim experience with training in billing
Benefits
• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules
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