Healthcare Network Specialist
1 week ago
Your key responsibilities will include:
* Conducting initial provider orientations and ongoing educational outreach
* Educating providers on policies and procedures related to referrals, claims submission, credentialing documentation, and more
* Enhancing account relationships by investigating and resolving provider matters
* Engaging providers in Patient Centered Medical Home initiatives
* Analyzing HBR and HEDIS data to create reports and dashboards
* Acting as a liaison between providers and the health plan to improve financial and quality performance
If you're passionate about healthcare and have a strong background in managed care and provider reimbursement, we encourage you to apply.
**Requirements:**
* Bachelor's degree in a related field or equivalent experience
* 2+ years of combined managed healthcare and provider reimbursement experience
* Claims processing and/or managed care experience preferred
**What We Offer:**
* Competitive pay
* Comprehensive benefits package
* Opportunities for professional growth and development
**Equal Opportunity Employer:**
Nebraska Total Care is an equal opportunity employer that values diversity and inclusion. We welcome applications from qualified candidates of all backgrounds.
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