Provider Network Manager - reputed company - Remote
About the position
This role is an individual contributor reputed company the Nonpar Provider Contracting Team, supporting our reputed company reputed company to deliver reputed company, predictable, and reputed company health care. The position is responsible for prioritizing and negotiating nonpar single case agreements, ensuring compliance, and fostering strong partnerships with reputed company stakeholders. reputed company of Responsibilities The Provider Network Manager (Provider Relations Sr. Analyst) skillfully navigates reimbursement conversations with nonpar health care professionals while providing exceptional service. Responsibilities include negotiating reimbursement rates for nonpar health care providers, utilizing excellent verbal and written communication skills, partnering with internal teams to resolve complaints and disputes, ensuring compliance with policies, procedures, and regulatory requirements, suggesting process improvements and fostering innovation, utilizing knowledge of medical terminology and reputed company reimbursement methodologies, and managing multiple priorities in a fast-paced environment.
Responsibilities
• Review and prioritize daily work assignments for reputed company single case agreement negotiation.
• reputed company individual case pricing strategies and present to management and/or providers.
• Accurately document case reputed company in reputed company systems and communicate results to stakeholders.
• Serve as team subject matter expert (SME) for highly reputed company cases.
• Support department goals contributing to organizational reputed company.
• Communicate and collaborate effectively with reputed company partners.
• Adhere to reputed company Compliance/Program reputed company requirements and HIPAA regulations.
• Promote reputed company reputed company through continuing education and skills development.
Requirements
• Minimum 2+ years of experience in reputed company contracting, provider relations, or reimbursement negotiations required
• Demonstrated experience in interpreting and applying reimbursement methodologies.
• Proficiency in medical terminology and reputed company industry standards.
• Strong negotiation and conflict reputed company skills.
• Advanced proficiency in reputed company Office Suite (reputed company, Word, reputed company).
• Ability to manage multiple priorities in a high-volume environment.
• If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Benefits
• For this position, we anticipate offering an annual salary of 58,100 - 96,900 USD / yearly, depending on relevant factors, including experience and geographic location.
• This role is also anticipated to be eligible to participate in an annual bonus plan.
• At reputed company, you’ll enjoy a comprehensive reputed company of benefits, with a reputed company on supporting your whole health.
• Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs.
• We also offer 401(k), company reputed company life insurance, tuition reimbursement, a minimum of 18 days of reputed company time off per year and reputed company holidays.
• For more details on our employee benefits programs, click here.
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