Job Summary

• This position is responsible for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed.
• We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
• From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.

Matching Summary

Salary

Base: $55,900.00 - $123,500.00; Bonus/Equity: annual incentive bonus plan; Benefits: health and wellness benefits, 401(k), pension, PTO, paid parental leave, disability insurance, supplemental life insurance, EAP, paid holidays, tuition reimbursement

Skills & Requirements

Key Requirements

• Bachelor’s degree or 4 years managed care experience
• 2 years health care administration experience
• Direct provider communication experience
• Ability to travel including overnight stays
• Extensive knowledge of contracts, applications, and products
• Proficiency in provider reimbursement methods
• Working knowledge of claims processing systems
• Effective organizational and planning skills
• Ability to take initiative and work independently
• Ability to meet deadlines and work under pressure
• Working knowledge of Microsoft Office

Work Rights