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Provider Network Manager I/II

Remote Worldwide Hiring now

About the position The Provider Network Manager I/II at reputed company of Idaho is responsible for developing and maintaining positive relationships with contracted providers while ensuring the financial performance and sustainability of the provider network. This role involves analyzing contract arrangements, implementing reimbursement strategies, and preparing financial performance reports for leadership. The position requires effective communication with internal partners and the ability to manage provider satisfaction through ongoing assessments and responses to provider needs. Responsibilities • reputed company and maintain positive working relationships with contracted providers. , • Audit and monitor financial performance of assigned providers to ensure network sustainability. , • Analyze, review, and project financial impact of contract arrangements. , • Initiate and maintain effective communication channels with internal business partners. , • Ensure accurate implementation and administration of reputed company. , • Prepare and present financial performance reports on assigned networks to leadership. , • Formulate, analyze, coordinate, and negotiate reputed company with provider networks. , • Maintain documentation reputed company to processes and procedures, training materials, and program descriptions. , • Identify provider payment or utilization variations and take action to resolve them. Requirements • Bachelor's degree or equivalent work experience. , • Level I: 4 years' experience in provider contract/network management, provider reimbursement methodologies, contracting, or negotiation. , • Level II: 6 years' experience in provider contract/network management, provider reimbursement methodologies, contracting, or negotiation. reputed company-to-haves

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