Network Provider Consultant

3 hours ago


Richardson, Texas, United States Innova Solutions Full time
Job Title: Network Provider Consultant

We are seeking a highly skilled Network Provider Consultant to join our team at Innova Solutions. As a Network Provider Consultant, you will play a critical role in managing our provider network, ensuring seamless contract operations, and maintaining compliance with regulatory requirements.

Key Responsibilities:
  • Manage the receipt, review, and tracking of new provider contracts and amendments.
  • Research and resolve internal inquiries related to contract operations, systems, and data entry issues.
  • Maintain and update provider contract agreement and amendment templates, ensuring adherence to Texas state filing regulations.
  • Assist in the composition and coordination of revised policies and procedures.
Requirements:
  • Bachelor's degree or 2 years of experience in the insurance/managed care industry with independent decision-making capabilities.
  • Strong written and verbal communication skills for composing responses, training materials, and procedures.
  • Proficient in Microsoft Word and Excel.
Preferred Qualifications:
  • Bachelor's degree with one year of business experience.
  • Knowledge of the care industry, provider contracts, products, and TDI filing regulations.
  • Experience with Salesforce, Apttus/Conga, and DocuSign applications.

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. We are committed to providing a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where we operate.


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