Network Operations Coordinator
4 weeks ago
Job Title: - Network Operations Coordinator
Job Location: - Torrance, CA (Onsite)
Employment type: - 12+ Months Contract
Job Description: -
- The Network Operations Coordinator 2 manages provider data for health plans including but not limited to demographics, rates, and contract intent.
- Manages provider audits, provider service and relations, credentialing, and contract management systems.
- Executes processes for intake and manage provider-perceived service failures. Decisions are typically focus on the interpretation of area/department policy and methods for completing assignments.
- Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.
- Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
Required Qualifications
- Less than 3 years of technical experience
- Proficiency in MS Office applications
- Possess a strong attention to detail
- Ability to work in a deadline-driven environment
- Strong verbal and written communication skills
- Previous account management, project management or related experience
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
- Associates or Bachelors Degree
- Prior experience working in the insurance industry
- Proficiency in MS Access
- Previous experience in claims
- Prior contract interpretation experience strongly desired
- Previous provider experience (provider contract, provider relations, or provider service
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