Senior Provider Engagement Specialist

Job Summary

A company is looking for a Senior Provider Engagement Network Specialist.

Key Responsibilities

• Ensure accurate provider setup in the information system for reporting and claims payment
• Act as a liaison for provider networking and manage relationships with participating providers
• Resolve complex provider data issues and support provider contract administration

Required Qualifications

• Bachelor's degree in a healthcare-related field or equivalent experience
• 5+ years of provider services experience in a managed healthcare environment
• Experience with provider contracting and benefits interpretation
• Knowledge of internal operations of provider relations
• Ability to research and analyze complex problems related to provider contracts