Provider Network Specialist coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Being a Provider Network Specialist distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Additionally, Provider Network Specialist typically reports to a manager or head of a unit/department. The Provider Network Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Network Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Description
Provider Relations and Network Contracting develops the provider network through contract negotiations, relationship development, and servicing for affiliated physician groups. Primary focus of this role is identifying and recruiting providers based on network composition and needs. Deals with affiliated providers and drives and supports value base initiatives.
The role evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with Physician providers and ensuring the network composition includes an appropriate distribution of providers.
Responsibilities
Required qualifications:
Job Type: Full-time
Pay: $60,000.00 - $75,000.00 per year
Benefits:
Schedule:
Ability to Relocate:
Work Location: In person
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