Provider Relations Network Analyst - Provider & Payor Relations
Less than 5 years experience •
Responsible for administering the installation of assigned provider contracts. Performs set-up, database loading, and preparation of administrative documents and materials. Responsible for maintenance of the provider database, assigning contracted providers to the correct reimbursement schedules. Facilitates communications and understanding of the Health Plan's networks. Act as internal liaison to resolve inquiries or issues. Coordinates management operational issues upon implementation.
Maintaining the online provider directory, processing Geo Maps/Reports, Disruption reports, provider adds, Panel Manager reports.
Bachelor's Degree is required with three or more years of related experience preferred. Experience in database management is helpful. Typically has three or more years of related experience.