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About the role
The Network Operations Coordinator 4 manages and maintains provider contract data and demographics for assigned provider groups for the Health Plan. Manages provider relationships through shared services that supports Provider Network Operations. This includes, but is not limited to:
What they're looking for
- Performing Roster Audits
- Acting as a customer service liaison
- Resolving provider load issues
- Managing Projects as assigned
More about this role
The Network Operations Coordinator 4 manages and maintains provider contract data and demographics for assigned provider groups for the Health Plan. Manages provider relationships through shared services that supports Provider Network Operations. This includes, but is not limited to:
- Performing Roster Audits
- Acting as a customer service liaison
- Resolving provider load issues
- Managing Projects as assigned
Makes decisions regarding own work methods and requires minimal direction. Uses critical thinking to solve problems, works independently with strong time management and organizational skills to complete required work. Follows established guidelines and procedures.
Use your skills to make an impact
Required Qualifications
· Minimum of 2 years of experience working in a healthcare setting with providers, payors, healthcare facilities, etc.
· Data analytic experience
· Intermediate skills with Microsoft Office, and proficient in Excel
· Ability to multi-task and work in a deadline driven environment
Preferred Qualifications
· Experience with APEX, PMDM, PAAG or CRM
· Provider contract interpretation experience
· Previous account management or project management
· Knowledge of...
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