Provider Network Consultant
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The Opportunity
Description
We're looking for a Provider Network Consultant, working in Insurance industry in Tulsa.- Analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes
- Contracting, credentialing and maintaining Facility / Professional provider data to support marketing, network contracting across all lines of business
- Supporting the implementation of special projects, assisting with tracking of various phases of a project and managing workflow
- Assisting management in familiarizing and training team members with the various business rules in network contracting and credentialing across all lines of business
- Identifying gaps in processes and suggesting process improvement strategies.
Our Client
Our client is a fast-growing industry-recognized staffing firm. Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. With 20+ years’ experience and growth.
Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services. Working to bring top talent together with premier organizations.
Big enough to have great opportunities. Small enough to care about finding the right one for you.
It’sabout relationships based on mutual interest. The results are low turnover, long-lasting partnerships and growth. Want to work for a company invested in your success?
Experience Required for Your Success
Required Job Qualifications:
- Bachelor degree plus 1 year of experience with Provider Network contracting and credentialing systems OR 5 years of experience in the Health Care industry.
- Written and verbal communication skills including interpersonal skills. Skills to develop training materials and act as an advisor to staff
- Experience and proficiency inn Microsoft Office software products including analytical tools. Experience developing reports.
Preferred Job Qualifications: - Subject Matter Expert for the Professional Provider Credentialing Process
- 2 years of experience with current government sponsored health insurance networks
- Knowledge of health care delivery systems, claim costing analytics, and provider network adequacy analytics
What Do You Think?
Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible?
Apply Now
