Network Operations Coordinator - Torrance, United States - Veear

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    Description

    Job Title: - Network Operations Coordinator

    Job Location: - Torrance, CA (Onsite)

    Employment type: - 12+ Months Contract

    Read on to find out what you will need to succeed in this position, including skills, qualifications, and experience.

    Job Description: -

    • The Network Operations Coordinator 2 manages provider data for health plans including but not limited to demographics, rates, and contract intent.
    • Manages provider audits, provider service and relations, credentialing, and contract management systems.
    • Executes processes for intake and manage provider-perceived service failures. Decisions are typically focus on the interpretation of area/department policy and methods for completing assignments.
    • Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.
    • Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

    Required Qualifications

    • Less than 3 years of technical experience
    • Proficiency in MS Office applications
    • Possess a strong attention to detail
    • Ability to work in a deadline-driven environment
    • Strong verbal and written communication skills
    • Previous account management, project management or related experience
    • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

    Preferred Qualifications

    • Associates or Bachelors Degree
    • Prior experience working in the insurance industry
    • Proficiency in MS Access
    • Previous experience in claims
    • Prior contract interpretation experience strongly desired
    • Previous provider experience (provider contract, provider relations, or provider service