Provider Network Specialist I

October 10

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Centene Corporation

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Contracting • Network Development • Managed Care

10,000+

Description

• Act as liaison between providers, health plan, and Corporate. • Perform training, orientation, and coaching for performance improvement within network. • Assist with claim resolution. • Serve as primary contact for providers. • Conduct monthly face-to-face meetings, document discussions, and issues. • Investigate and resolve provider claim issues. • Educate providers on policies and procedures regarding referrals and claims.

Requirements

• Bachelor’s degree in related field or equivalent experience • 0-2 years of provider relations or contracting experience • Knowledge of health care, managed care, Medicare or Medicaid. • Bachelor’s degree in healthcare or a related field preferred. • Claims billing/coding knowledge preferred. • Current state driver’s license. • Candidate must reside in Mohave County, AZ. • Required 50% travel within Mohave County.

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