Network Healthcare Provider Relations Specialist

4 weeks ago


Wilmington, North Carolina, United States Johns Hopkins HealthCare Full time

About the Role:

We are seeking a skilled Network Relations Consultant to join our team at Johns Hopkins Health Plans. As a key member of our team, you will develop and maintain collaborative relationships with network providers across all our lines of business.

Key Responsibilities:

  • Act as a liaison between network providers and JHHP, ensuring network access standards are met and compliance with provider contract and regulatory processes.
  • Educate and train providers on JHHP systems and quality goals.
  • Maintain ongoing communication with providers, facilitate regular provider meetings, and ensure timely assistance and resolution of any issues presented.

Requirements:

  • 2+ years' experience in healthcare delivery program or insurance setting, with expertise in provider relations, managed care, and contracting.
  • Strong interpersonal skills to effectively communicate and interact with diverse groups of physicians, office staff, and business-related associates.
  • Basic computer skills and familiarity with various Microsoft software applications.

About Us:

Johns Hopkins Health Plans is a leader in provider-sponsored health plans, serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. We are committed to creating a welcoming and inclusive environment, where all employees feel valued and contribute to our mission of serving the community.

Salary Range:

Minimum $25.73 per hour - Maximum $42.48 per hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.



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