Current jobs related to Provider Network Relations Consultant- TN - Chicago - Zing Health Holdings Inc
-
Employee Relations Consultant
3 months ago
Chicago, United States HSBC Full timeOur purpose – Opening up a world of opportunity – explains why we exist. Here at HSBC we use our unique expertise, capabilities, breadth and perspectives to open up new kinds of opportunity for our more than 40 million customers. We’re bringing together the people, ideas and capital that nurture progress and growth, helping to create a better world...
-
Network Security Consultant
2 days ago
Chicago, United States Burwood Group Full timeWho We Are Burwood Group is not your average technology consulting firm. We are an innovative, culture-driven industry leader, that helps companies use and manage technology to transform business and improve outcomes. Founded in 1997, headquartered in Chicago, we've grown to be a 200+ employee firm with team members and offices spread from Southern...
-
Network Security Consultant
2 days ago
Chicago, United States Burwood Group Full timeWho We Are Burwood Group is not your average technology consulting firm. We are an innovative, culture-driven industry leader, that helps companies use and manage technology to transform business and improve outcomes. Founded in 1997, headquartered in Chicago, we've grown to be a 200+ employee firm with team members and offices spread from Southern...
-
Provider Enrollment Specialist
4 weeks ago
Chicago, United States The Lactation Network Full timeJob DescriptionJob DescriptionAre you interested in working in enrollment and credentialing for a growing network of providers in the maternal health space? Do you love owning a process end-to-end, organizing information, and problem-solving in a fast-paced, high-impact work environment? Are you driven to change the standard of care in women’s health?The...
-
Bilingual Senior Learning and Development Consultant
3 months ago
Chicago, United States LaSalle Network Full timeLaSalle Network is partnered with a Global Manufacturing Company searching for their next Bilingual Senior Learning and Development Consultant with native bilingual capabilities in either Spanish, German, Italian or French. This individual must be able to present and speak in front of crowds in one of the listed languages. We are seeking a highly motivated...
-
Chicago, Illinois, United States Chicago Public Schools Full timeOrganization Overview: Chicago Public Schools (CPS) stands as one of the largest educational systems in the United States, catering to over 320,000 students across more than 600 institutions and employing nearly 40,000 staff members, predominantly educators. CPS is committed to ensuring that every student, in every institution and neighborhood, has...
-
Operational Excellence Consultant
3 weeks ago
Chicago, United States LaSalle Network Full timeOur client is a dynamic and innovative organization dedicated to driving operational excellence and efficiency. They are seeking a highly motivated and results-oriented Operational Excellence Consultant to join their team. Operational Excellence Consultant Responsibilities:Conduct in-depth assessments of business processes to identify areas for improvement,...
-
Provider Network Management Lead
2 months ago
Chicago, United States LV Staffing Associates Inc Full timeJob DescriptionJob DescriptionOur rapidly growing client located in Chicago IL, is looking to add to staff. We are currently looking for an experienced Provider Network Lead for the office located on La Salle Street. This position would require you to be on site 2 to 3 days per week or on the field doing site visits. This is a hybrid position. The...
-
Provider Network Lead- IL
1 month ago
Chicago, United States CINQCARE Full timeJob DescriptionJob DescriptionAbout CINQCARECINQCARE is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to Black and Brown communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in,...
-
Provider Network Lead- IL
1 month ago
Chicago, United States CINQCARE Full timeJob DescriptionJob DescriptionAbout CINQCARECINQCARE is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to Black and Brown communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in,...
-
Chicago, Illinois, United States Chicago Public Schools Full timeOverview: Chicago Public Schools (CPS) stands as one of the largest educational systems in the nation, dedicated to providing an exceptional learning environment for over 320,000 students across more than 600 institutions. With a workforce of nearly 40,000, primarily educators, CPS is committed to ensuring that every student, regardless of their...
-
Senior Network Architect
4 days ago
Chicago, Illinois, United States LaSalle Network Full timeJob Summary:LaSalle Network is seeking a highly skilled Senior Network Administrator to lead our client's digital transformation efforts. As a key member of our team, you will be responsible for implementing, managing, and optimizing network and routing protocols within a Cisco environment, ensuring high performance and reliability.Key...
-
Hematology/Oncology Physician
7 days ago
Chicago, Illinois, United States Provider Solutions & Development Full timeAbout the RoleCook County Health is seeking a highly skilled Hematology/Oncology Physician to join our team of healthcare professionals. As a key member of our organization, you will be responsible for providing exceptional patient care and leading our cancer care services.ResponsibilitiesProvide in-patient oncology and/or hematology consult servicesStaff...
-
Chicago, Illinois, United States Chicago Public Schools Full timeOrganization Overview:Chicago Public Schools (CPS) stands as one of the most extensive educational districts in the United States, catering to over 320,000 students across more than 600 institutions and employing nearly 40,000 staff members, predominantly educators. CPS is committed to ensuring that every student, regardless of their school or neighborhood,...
-
Partner Solutions, Principal
2 weeks ago
Chicago, United States Hayfin Capital Management Full timeHayfin Capital ManagementFounded in 2009, Hayfin Capital Management (“Hayfin”) is a leading alternative asset management firm with c. €31 billion in assets under management. Hayfin focuses on delivering attractive risk-adjusted returns for its investors across its private debt, liquid credit and private equity solutions businesses. Hayfin has a...
-
Manager Consulting
2 weeks ago
Chicago, United States Cognizant Full timeManager Consulting (Payment Card network) Banking & Financial Services Consulting ABOUT US Cognizant is one of the world's leading professional services companies, transforming clients' business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build, and run more innovative and...
-
Compassionate Healthcare Provider
1 week ago
Chicago, Illinois, United States Caring Network Full timePosition OverviewSalary: Part-time: $33.00/hour with a $5,000 sign-on bonus; Full-time: $68,640/year with a $10,000 sign-on bonusAbout Caring Network:Caring Network is committed to honoring and glorifying Jesus Christ by providing love and compassion to women considering abortion, guiding them towards life choices that are both physical and spiritual.Role...
-
Service Provider Solutions Consultant Leader
1 week ago
Chicago, Illinois, United States Palo Alto Networks Full timeYour CareerThe Solutions Consultant Manager represents a modern take on the conventional Sales Engineer Manager role, focusing on how we guide teams to effectively assist our clients in comprehending their environments, offering solution insights, and ensuring they derive maximum value from their investments with Palo Alto Networks.In the capacity of...
-
Partner Solutions, Principal
4 weeks ago
Chicago, United States Hayfin Capital Management Full timeJob DescriptionJob DescriptionHayfin Capital ManagementFounded in 2009, Hayfin Capital Management (“Hayfin”) is a leading alternative asset management firm with c. €31 billion in assets under management. Hayfin focuses on delivering attractive risk-adjusted returns for its investors across its private debt, liquid credit and private equity solutions...
-
Partner Solutions, Principal
3 months ago
Chicago, United States Hayfin Capital Management Full timeJob DescriptionJob DescriptionHayfin Capital ManagementFounded in 2009, Hayfin Capital Management (“Hayfin”) is a leading alternative asset management firm with c. €31 billion in assets under management. Hayfin focuses on delivering attractive risk-adjusted returns for its investors across its private debt, liquid credit and private equity solutions...
Provider Network Relations Consultant- TN
1 month ago
COMPANY OVERVIEW
Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com.
POSITION OVERVIEW
The Provider Network Relations Consultant is responsible for negotiating contracts, developing, and maintaining a cooperative relationship and an excellent rapport with all network providers for an assigned region. The Provider Network Relations Consultant acts as a liaison between the network providers and Zing Health, monitoring providers to ensure access standards are met, promoting strategic initiatives and providing training for all lines of business to ensure that network providers have updated policy and procedure information.
ESSENTIAL POSITION RESPONSIBILITES
- Manages Provider Network by developing and maintaining relationships to drive business results within a specific geographic area.
- Conducts Provider Orientations and ongoing education to office staff on Zing Health Policy & Procedures.
- Ensures contract SLAs are met, such as meeting with PCP’s and Specialists on a monthly, quarterly, or annual basis to address contractual issues, utilization, claims reporting
- Daily interface with providers and internal constituents to effectively resolve service issues (contract inquires, claim issues, authorization request, provider access) in a timely manner.
- Maintains provider data integrity including monitoring provider credentialing, location additions, demographic updates, and terminations.
- Monitors and supports providers using utilization reports, pharmacy profiles, ER contingencies, and other analytics
- Understands and explains fee-for-service and risk contracts.
- Performs special projects as assigned.
POSITION QUALIFICATIONS
Required Qualifications
Education/Experience:
- Required 3 - 5 years of experience in Provider Relations, Network Development, Network Management, Contracting or related Provider Services position with demonstrated ability to perform the level of duties of the position
- Other previous contracting experience preferred
- Demonstrated negotiation, analytic and organizational skills
- Medicare experience preferred
- Required Managed Care experience
- Knowledge of healthcare delivery a plus
- Microsoft Office Suite experience – Word, Excel, and Outlook
- Excellent written and interpersonal verbal communication skills
- Ability to present in group settings, multi-task, work independently, and work within tight timeframes and meet strict deadlines
