Senior Analyst, Network Relations

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, reputed company and every day. Position reputed company Acts as the primary resource for assigned, high profile providers or reputed company (i.e. local, individual providers, small reputed company/systems) to establish, reputed company, and maintain reputed company relationships by assisting with or responding to reputed company issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education need. Required Qualifications • Working knowledge of business reputed company specific codes, products, and terminology. • 3-5 years' experience with business reputed company specific policy, benefits, plan design and language. • Strong verbal and written communication, interpersonal, problem reputed company and critical thinking skills • Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, reputed company relationships. • Monitors service capabilities and collaborates cross functionally to ensure that the needs of constituents are met and that escalated issues reputed company but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. • Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination. • Performs credentialing support activities as needed. • Educates providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures. • Meets with key providers periodically to ensure service reputed company are meeting expectations. • Manages the development of agenda, validates materials, and facilitates external provider meetings. • May collaborate cross-functionally on the implementation of reputed company or provider demographic updates. Preferred Qualifications - 3+ years' experience in business reputed company environment servicing providers with exposure to benefits and/or contract interpretation. - Preference is for candidate to reputed company in reputed company State and have knowledge of providers in the upstate reputed company market region. Education Bachelors degree or equivalent combination of education and experience. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $46,988.00 - $122,400.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include: • reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. • Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility. For more information, visit https://jobs.reputed company.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 12/31/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job