Provider Network Specialist II - Remote

Overview

The Provider Network Specialist II plays a vital role in transforming healthcare for communities by enhancing relationships between health plan providers and the organization.

In Short

• Conduct provider orientations and ongoing educational outreach.
• Act as a liaison between providers and health plans.
• Educate providers on policies, procedures, and initiatives.
• Perform detailed analyses and create reports for provider performance.
• Investigate and resolve provider matters.
• Communicate milestone documents and success metrics.
• Conduct site visits as required.
• Assist with contracting duties and special projects.
• Ability to travel as needed.
• Comply with all policies and standards.

Requirements

• Bachelor’s degree in a related field or equivalent experience.
• 2+ years of experience in managed healthcare and provider reimbursement.
• Experience in claims processing or managed care preferred.
• Current state driver’s license.

Benefits

• Competitive pay and health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible work schedules including remote options.