Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
Summary of Responsibilities:
Responsible for administering all the functions required to appoint and maintain external agencies and agents with Gerber Life in order to sell insurance products.
Position Responsibilities:
Following state and federal regulations as well as Gerber Life’s established guidelines, this position is responsible for the administration of state appointment tasks from beginning to end. Tasks consist of confirming all required documentation has been received to process the appointment. In addition to standard appointment forms, includes review of background check investigations and any supporting documentation. Follows up with agencies or agents for missing forms and keeps agencies informed of appointment status. Informs agent and agency when agent is appointed.
Creation of agency and agent records in Gerber Life’s computer systems including agent demographics, payment hierarchy and commission schedules, following and documenting workflow processes and maintaining accurate record keeping. In addition, ongoing maintenance for agent records including hierarchy changes, address changes, additional appointments, renewals license updates and terminations.
Assists with: processing licensing/appointment system edits (underwriting system), responses to agent/agency inquiries, creation and maintenance of Work Instructions, and other related work as assigned.
Selection Criteria:
3 years of relevant work experience to include using computer systems for capturing and storing data, with preference for experience in communicating and dealing effectively with government agencies.
Preferred experience with the appointing of life insurance agents.
Work Setting:
Fremont site office.
Educational Requirements:
Associate’s degree or equivalent.
Bachelor’s degree in related field preferred.
Computer Skills and Knowledge of Hardware & Software Required:
Strong PC abilities including Microsoft Office applications, i.e. Outlook, Excel and Word.
Experience with Vue, Sircon or other licensing/commission systems a plus.
Certifications & Licenses (i.e., Series 6 & 63, CPA, etc.):
None
Position Demands:
Solid judgment, problem-solving, decision-making and follow-through skills.
Proven ability to quickly comprehend various business processes as well as legal/regulatory or administrative requirements.
Keen attention to detail, organization and planning.
Proven analytical and problem-solving skills.
Solid oral/written communication skills.
Quality and customer service advocate.
Ability to foster a working environment of continuous process improvement to drive and implement change.
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