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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