Managed Care Network Representative
3 days ago
Job Title: Managed Care Network Representative
Job Type: Full-time (40+ hours/week)
Travel: Frequent travel (3+ days/week) required, including possible overnight stays
Summary:
The Managed Care Network Representative partners with healthcare providers in assigned market to enhance quality, reduce costs, optimize revenue, and improve provider satisfaction for Allegiance Health Network's clinically integrated network (AHN CIN). This role involves field visits and ensuring accurate provider data.
The market for this position is Central Louisiana.
Qualifications:
- Education: Bachelor's degree preferred; four years of relevant experience may substitute.
- Experience: Minimum two years in healthcare-related roles; managed care or health insurance experience preferred.
- Skills: Strong interpersonal skills, healthcare systems knowledge, negotiation abilities, proficiency in Microsoft Office, and strong organizational skills.
- Licenses: Valid driver's license required; health insurance broker license preferred; active clinical license in good standing (RN or LPN) a plus.
Responsibilities:
- Maintain market visibility and strategic scheduling.
- Facilitate provider meetings and share data.
- Guide quality improvement initiatives.
- Ensure accurate provider data management.
- Coordinate Joint Operational Committee meetings.
- Negotiate and manage provider contracts.
- Report progress to internal stakeholders.
- Align with AHN priorities and goals.
Reasonable accommodations may be made to enable qualified individuals with disabilities to satisfactorily perform the essential functions without causing an undue hardship for the employer.
Job Type: Full-time
Pay: $50, $80,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Work Location: On the road
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