Hybrid working environment : flexibility to work from home and visiting Provider's doctor office / clinics is required. MONDAY-FRIDAY, 8am-5pm.
Manages both individual and group provider relationships to include provider recruitment, standard contracting, onboarding, claims training and resolution of providers’ issues including those related to claims payment, quality and performance initiatives, improved access and controlling unnecessary costs.
Ensures that contract and regulatory network adequacy requirements are met by continuously developing new provider relationships while strengthening existing relationships. Supports the implementation of business changes to simplify operations and improve all provider business experiences.
Position is eligible for priority parking. Requires safely operating an insured automobile for travel to off-site locations to conduct and accomplish business related activities. *Must have a valid driver’s license, access to an automobile with current license, registration and no fault insurance.*
health insurance, healthcare provider onboarding, relationship management, communications management
Driving required - car and ability to drive for work purposes required. Mileage will be compensated.
About TEKsystems :
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Network Management Specialist - Hybrid • Honolulu, HI, US
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