Provider Network Consultant
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The Opportunity
Description
We're looking for a Provider Network Consultant, working in Insurance industry in Chicago, Illinois, United States.- Supporting Commercial, MA, Medicaid, Medicare and Medicaid Dual Eligible provider contracting of ancillary and ancillary facility providers across all lines of business including preparation of Single Case Agreements.
- Researching, mailing, receiving, sorting and resolving provider inquiries arising from contract operations.
- Is responsible for internal communications including working with Provider Network, Contracting and Government Programs staff on contracting efforts
- Staying responsible for internal and some external communications including educating and updating the provider network community regarding their agreements. Most communication, however, will be internal and coordinating with the Leadership and Project Manager associated with the Projects.
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
- High School Diploma with 4+ years Managed Care Contracting Experience OR 2 year of experience in health insurance/managed care industry handling independent decision making.
- Bachelor Degree with 1 year business experience, preferred.
- Written and verbal communication skills to compose responses to external and internal entities, to educate providers, to compose training materials and procedures, to work across departments to resolve provider issues including claim research.
- PC proficiency including Microsoft Word and Excel
- Knowledge of health care industry, contracts, products, claims processing, preferred.
- Knowledge of government health care products, preferred.
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
