Healthcare Network Consultant

5 days ago


Richardson, Texas, United States Walker Healthforce Full time
Job Title: Provider Network Consultant

We are seeking a skilled Provider Network Consultant to join our team at Walker Healthforce. As a key member of our team, you will play a crucial role in supporting our healthcare clients in Texas.

Job Summary:

The Provider Network Consultant will be responsible for supporting Texas Network Management provider contracting business activities. This includes receiving, reviewing, and tracking downstream business functions for new provider contracts and amendments. You will also research and resolve internal Network Management inquiries related to contract operations, system, and data entry issues.

Key Responsibilities:
  • Support Texas Network Management provider contracting business activities.
  • Receive, review, and track all downstream business functions for new provider contracts and amendments.
  • Research and resolve internal Network Management inquiries related to contract operations, system, and data entry issues.
  • Communicate with Provider Network, Provider Relations, and Government Programs staff on issue resolution.
  • Maintain provider contract agreement and amendment templates, ensuring adherence to Texas state filing regulations.
  • Assist in composing and coordinating updates to policies and procedures.
Requirements:
  • Bachelor's degree.
  • 2 years of experience in the health insurance/managed care industry.
  • Written and verbal communication skills to compose responses to internal entities, to compose training materials and procedures, to work across departments to resolve issues.
  • Knowledge of the healthcare industry, provider contracts, products, and TDI filing regulations.
  • Proficient with Microsoft applications (Excel, Outlook, etc.).
Preferred Requirements:
  • Experience with Salesforce, Apttus/Conga, and DocuSign applications.

We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status, or protected veteran status.



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