Provider Network Specialist
RemoteUnited States
Job Summary
Assess network access, generate Geo Access reports, and identify recruitment opportunities for provider network analysis and planning. Evaluate current contracts using managed care reimbursement principles to identify cost savings while maintaining quality, ensuring appropriate legal and regulatory review prior to execution. Coordinate implementation of new contracts, initiate contract flow processes, and ensure accurate data entry in the Geo Access system. Act as team lead and trainer for Provider Data Coordinators, conducting follow-up training to ensure policy compliance and disseminating written correspondence as needed.
Required Qualifications
- Working experience with Geo Access or equivalent system
- Bachelor's degree in business, health, management systems or closely related field, although an equivalent combination of formal education and experience may substitute for a degree
Desired Qualifications
- Bachelor's degree in business, health, management systems or closely related field
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.