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Network Relations Consultant
2 months ago
Location: Houston TX, Grand Prairie TX
Hours: Standard M - F
Travel: Field Based Role (travel throughout assigned territory in Texas + occasional office milestone/meetings)
Position Overview:
Develops and maintains positive relationships with providers within a local health plan's LTSS provider network. Researches and resolves operational issues.
How You Will Make an Impact:
Works with operational departments to address provider grievances and service issues
Provides explanations to providers regarding contract compliance, company procedures and policies, etc
Recruits, orients and provides high quality service to providers
Identifies sufficient number and location of providers to meet area needs
Assists providers during contract execution
Identifies key opportunities for provider training
Conducts virtual and in-person provider visits to support LTSS network
Functions as a high level technical resource to resolve or facilitate complex provider issues
Develops new provider programs and addresses major issues related to systems, customer service issues, new network implementation, etc
Required Qualifications:
Requires a BA/BS degree and a minimum of 3 years experience as Network Services Specialist or as a Trainer; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications:
Experience working with LTSS preferred
Experience presenting to leadership and varied audiences preferred
Quality background preferred
Interpersonal Skills is a must
Ability to operate independently strongly preferred
