Provider Relations Manager
4 weeks ago
**Job Summary:** Alignment Healthcare is seeking a highly motivated Network Management Specialist to join our team. This role offers an exciting opportunity to build and maintain high-performance provider networks.
About the Position:
You will work closely with other departments to enhance the contracted provider experience consistent with our mission statement and values. The successful candidate will have strong analytical, quantitative, and problem-solving skills, as well as excellent verbal and written communication skills.
Main Responsibilities:
- Identify opportunities to contract with providers and improve contractual performance.
- Recruit new providers and prepare supporting documentation for contracting purposes.
- Negotiate and implement contracts for physicians and ancillary providers.
- Maintain internal awareness of network changes by issuing timely and accurate provider update communications.
- Ensure overall compliance by responding to grievances/appeals and adhering to regulatory and departmental Policy and Procedure guidelines.
Requirements:
- Minimum 5+ years' experience in provider relations/contracting with an HMO or IPA, medical group, or institutional provider required.
- Bachelor's Degree preferred.
Skills and Qualifications:
- Strong analytical, quantitative, and problem-solving skills required.
- Excellent verbal and written communication skills required.
- Proficiency in MS Word and Excel required; Access database proficiency preferred.
Work Environment:
- Office Hours: Monday-Friday, 8am to 5pm. Extended work hours, as needed.
- 20% travel may be required at times.
Annual Salary:$70,000 - $75,000.
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