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Provider Relations Specialist
A company is looking for a Provider Relations Specialist - Health Plan Contracting. Key Responsibilities Act as the primary liaison between the Health Plan and network providers, addressing questions and concerns Maintain relationships with provider networks and respond to inquiries regarding policies, rates, and eligibility Train others on policies, procedures, and online tools as needed Required Qualifications Bachelor's degree in Human Resources, Business, or a related field Marketing or Sales training preferred Knowledge of Managed Care, utilization management, and provider reimbursement Ability to handle pressure while maintaining confidentiality Strong understanding of health plan procedures and policies
A company is looking for a Provider Relations Specialist - Health Plan Contracting.
Key Responsibilities
Act as the primary liaison between the Health Plan and network providers, addressing questions and concerns
Maintain relationships with provider networks and respond to inquiries regarding policies, rates, and eligibility
Train others on policies, procedures, and online tools as needed
Required Qualifications
Bachelor's degree in Human Resources, Business, or a related field
Marketing or Sales training preferred
Knowledge of Managed Care, utilization management, and provider reimbursement
Ability to handle pressure while maintaining confidentiality
Strong understanding of health plan procedures and policies