Network Relations Specialist

4 weeks ago


Iowa, United States CareerBuilder Full time

Location:

Des Moines, Iowa
Hours:

Standard M - F
Travel:

Field Based Role (Traveling around territory as needed)

Position Overview:
Develops and maintains positive relationships with providers within a local health plan's LTSS/HCBS 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 and or Waiver populations preferred

Experience presenting to leadership and varied audiences preferred

Quality background preferred

Interpersonal Skills is a must

Ability to operate independently strongly preferred

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