Provider Network Consultant - Chicago Illinois HQ ( E. Randolph Street)
1 week ago
Job Summary
This position is responsible for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching/processing claims issues; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed.Required Job Qualifications:
*Bachelor's degree in health care or business administration or a minimum of 4 years work experience in a managed care environment.
*Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience.
Job description
, consectetur adipiscing elit. Nullam tempor vestibulum ex, eget consequat quam pellentesque vel. Etiam congue sed elit nec elementum. Morbi diam metus, rutrum id eleifend ac, porta in lectus. Sed scelerisque a augue et ornare.
Donec lacinia nisi nec odio ultricies imperdiet.
Morbi a dolor dignissim, tristique enim et, semper lacus. Morbi laoreet sollicitudin justo eget eleifend. Donec felis augue, accumsan in dapibus a, mattis sed ligula.
Vestibulum at aliquet erat. Curabitur rhoncus urna vitae quam suscipit
, at pulvinar turpis lacinia. Mauris magna sem, dignissim finibus fermentum ac, placerat at ex. Pellentesque aliquet, lorem pulvinar mollis ornare, orci turpis fermentum urna, non ullamcorper ligula enim a ante. Duis dolor est, consectetur ut sapien lacinia, tempor condimentum purus.
Access all high-level positions and get the job of your dreams.
Similar jobs
This position is responsible for supporting the development, performance management, and oversight of their assigned provider networks in the OH market territory. The Network Management Consultant will work to build and maintain strong relationships with their assigned provider n ...
4 days ago
This position is responsible for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying trends and evaluating providers to ensure contractual and financial requirements are a ...
5 days ago
This position is responsible for providing support to the provider recruitment and contracting process to ensure strategic coverage of providers for assigned territory. · Bachelor's degree and at least one year experience developing and negotiating provider contracts OR 5 years m ...
1 week ago
This position is responsible for directing all negotiations, · strategies and direct execution of the business plan for providers in our HealthSpring Alabama (includes MS and Northwest FL) and Georgia markets.Required Job Qualifications: · Bachelor degree and 7 years experience i ...
5 days ago
+The Executive Director will lead the actuarial function for Medicare Part D products, including Individual MAPD and PDP.Lead actuarial strategy for Individual MAPD and PDP products,+ · Provide actuarial leadership on product strategy and component strategies,+ · Partner cross-fu ...
1 week ago