Senior Analyst, Network Relations
Description:
Acts as the primary resource for assigned providers or groups to establish, oversee, and maintain positive relationships
Assists with or responds to complex issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues
Optimizes interactions with assigned providers and internal business partners to establish productive professional relationships
Monitors service capabilities and collaborates cross-functionally to ensure that needs of constituents are met
Supports or assists with operational activities including database management and contract coordination
Educates providers as needed to ensure compliance with contract policies and parameters
Meets with key providers periodically to ensure service levels are meeting expectations
Collaborates on implementation of large provider systems to manage cost drivers and execute specific cost initiatives
Conducts standard provider recruitment, contracting, or re-contracting activities and assists with more complex contracting discussions
May provide guidance and training to less experienced team members
Requirements:
3+ years' experience in business segment environment servicing providers with exposure to benefits and/or contract interpretation
Working knowledge of business segment specific codes, products, and terminology
3-5 years' experience with business segment specific policy, benefits, plan design and language
Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills
Benefits:
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs including wellness screenings, tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
Many other benefits depending on eligibility
Apply Now
Acts as the primary resource for assigned providers or groups to establish, oversee, and maintain positive relationships
Assists with or responds to complex issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues
Optimizes interactions with assigned providers and internal business partners to establish productive professional relationships
Monitors service capabilities and collaborates cross-functionally to ensure that needs of constituents are met
Supports or assists with operational activities including database management and contract coordination
Educates providers as needed to ensure compliance with contract policies and parameters
Meets with key providers periodically to ensure service levels are meeting expectations
Collaborates on implementation of large provider systems to manage cost drivers and execute specific cost initiatives
Conducts standard provider recruitment, contracting, or re-contracting activities and assists with more complex contracting discussions
May provide guidance and training to less experienced team members
Requirements:
3+ years' experience in business segment environment servicing providers with exposure to benefits and/or contract interpretation
Working knowledge of business segment specific codes, products, and terminology
3-5 years' experience with business segment specific policy, benefits, plan design and language
Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills
Benefits:
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs including wellness screenings, tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
Many other benefits depending on eligibility
Apply Now