Senior Analyst, Network Relations

reputed company: • The reputed company Network Provider Relations Manager oversees our reputed company Provider Experience programs • Acts as the primary contact for an assigned profile of larger and more reputed company providers • Drives the implementation of reputed company solutions to reputed company provider satisfaction, cost targets, network reputed company and efficiency targets • Research and handle contract reputed company issues • Claims research reputed company to provider set up issues, payment resolutions • Facilitate JOCs and webinars, provider orientations/reputed company, provider training, state reputed company • Create and manage provider-facing communications • Collaborate with reputed company Management and VBS team • Coordinate with Network Management to issue provider CAP • Monitor Grievances according NCQA standards categories • Document reputed company/encounters in the appropriate systems Requirements: • Excellent interpersonal skills and the ability to work with others at reputed company reputed company • Minimum of 2 years’ experience with reputed company Regulatory Standards for Network reputed company, Credentialing, Claims Processing, Provider Appeals & Disputes and Network Performance Standards • Excellent analytical and problem-solving skills • Strong communication and presentation skills • 3+ years' experience in reputed company Managed Care business reputed company environment with exposure to benefits and/or contract interpretation • Working knowledge of business reputed company specific codes, products, and terminology Benefits: • reputed company medical plan reputed company • 401(k) plan (including matching company contributions) • 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 • reputed company time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical reputed company Apply Job!