Provider Network Specialist - New York City Metropolitan Area

Only for registered members New York City Metropolitan Area, United States

1 month ago

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Job summary

Serves as the liaison between the Plan and our network of healthcare providers develops and maintains relationships with the provider network community educates the network on Plan standards and TRICARE requirements responsible for new provider orientation program ongoing training to ensure understanding of Plan policies programs TRICARE requirements contractual obligations monitors network adequacy responds appropriately collaborates with marketing sales family practice center staff to ensure beneficiaries needs are fulfilled serves as primary point of contact address inquiries resolve issues track trend report provider inquiriesissues to management.

  • Actively communicate with prospective contracted providers based on business needs.
  • Guide prospective providers through application credentialing contract process provider onboarding.

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