Position Details
About this role
This role involves developing and maintaining provider relationships, resolving claims and contract issues, and analyzing provider utilization to improve service quality within a healthcare plan.
Key Responsibilities
- Develop provider relationships
- Resolve provider issues
- Coordinate contract negotiations
- Conduct provider training
- Analyze provider utilization
Technical Overview
The candidate will utilize data analysis, claims processing, and provider management tools to ensure efficient operations and provider satisfaction in a hybrid work setting.
Ideal Candidate
The ideal candidate is a mid-level healthcare professional with at least 3 years of experience in provider relations, claims resolution, and customer service. They are skilled in contract management and data analysis, capable of building strong provider relationships.
Must-Have Skills
Nice-to-Have Skills
Tools & Platforms
Required Skills
Hard Skills
Soft Skills
Industry & Role
Keywords for Your Resume
Deal Breakers
No healthcare or provider relations experience, Lack of Bachelor's degree, Inability to work in a hybrid environment, Less than 2 years of relevant experience
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