Physician Network Coordinator

2 weeks ago


Manhasset, New York, United States Northwell Health Full time
Job Summary

We are seeking a highly skilled Physician Relationship Management Specialist to join our team at Northwell Health. This role will be responsible for coordinating and facilitating physician enrollment and network participation activities for various network products and Independent Practice Association (IPA).

Key Responsibilities
  • Respond to inquiries from participating physicians, network staff, hospital staff, and managed care companies, resolving issues related to credentialing, managed care participation, claims payment, demographic changes, referrals, and accessibility.
  • Coordinate and implement credentialing activities to assist providers with the completion of applications for network contract offerings, monitoring applications and following up as needed.
  • Conduct provider and facility credentialing and re-credentialing activities, communicating with providers to obtain requisite credentialing information to facilitate timely completion and submission of required documents.
  • Facilitate re-credentialing requests and coordinate site visits related to managed care contracts.
  • Maintain provider files, as well as availability and contract-specific sentinel events.
  • Assist with coordination, education, and outreach, participating in community events.
  • Contribute to network development by working as a key team member to build infrastructure, identify resources, and assist in operational plans.
Requirements
  • Bachelor's Degree required, or equivalent combination of education and related experience.
  • 1-3 years of relevant experience, required.
  • Driver's License Preferred (Travel across Nassau, Suffolk, Queens, Brooklyn, Manhattan, Staten Island, Bronx, Westchester).
Salary and Benefits

The salary range for this position is $62,250-$100,130/year. Northwell Health offers a comprehensive benefits package, including medical, dental, and vision insurance, as well as a 401(k) plan and paid time off.



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