US Citizen
Green Card
EAD (OPT/CPT/GC/H4)
H1B Work Permit
Corp-Corp
W2-Permanent
W2-Contract
Contract to Hire
Consulting/Contract
UG :- - Not Required
PG :- - Not Required
No of position :- ( 1 )
Post :- 17th Jan 2024
* 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
* Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas
* Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed
* Follows established guidelines/procedures
* Bachelor's degree
* 5 years of provider network experience
* Demonstrated expertise in financial modeling, data preparation and analysis using Excel, Access and other Microsoft applications
* Prior experience managing mid to large scale projects
* Strong attention to detail
* Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications:
* Service Fund experience strongly desired
* Previous experience in the health solutions industry