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Provider Services Representative

7/6/2025

N/A

Job Summary

A company is looking for a Senior Representative, Provider Services - Remote.

Key Responsibilities
  • Manage provider training and network development while ensuring compliance with policies and regulations
  • Serve as the primary contact for high-priority providers, educating and engaging them as partners
  • Resolve complex provider issues and provide training to other Provider Services Representatives
Required Qualifications
  • Bachelor's Degree or equivalent experience in provider contract, network development, or project management
  • 3 - 5 years of customer service or provider service experience in a managed care setting
  • 5 years of experience in provider contract negotiations in a managed healthcare setting
  • Familiarity with managed healthcare provider compensation methodologies, especially in Medicaid and Medicare
  • Preferred: Bachelor's or master's degree and 5+ years of experience in managed healthcare administration

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