Provider Contracting & Education Representative -
Location: Phoenix
Posted on: September 27, 2024
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Job Description:
This position supports the department leadership in the overall
management of the provider network that is delegated to the network
subcontractors. Ensures contract compliance and high level of
customer satisfaction by serving as the consulting resource for
network subcontractors. Serves as the subject matter expert for
network subcontractors for reimbursement methodologies, provider
education content and provider contract life cycle. Responsible for
monitoring network adequacy and access against contract standards
for assigned territory. Operates as intermediary between network
subcontractors and staff on network and contracting activities.
Facilitates resolution of escalated provider issues. Ensures
compliance with network subcontractor statement of work and overall
account management for assigned states.
This position is also responsible for delivering primarily virtual
education to both network subcontractors and providers. This
position must keep current and follow departmental policies and
procedures and submit reports in a timely manner. We are an equal
employment opportunity employer and will consider all qualified
candidates without regard to disability or protected veteran
status.
Keywords: , Phoenix , Provider Contracting & Education Representative -, Healthcare , Phoenix, Arizona
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