Martin's Point Health Care logo
Martin's Point Health Care

We are people caring for people.

Senior Network Representative – Pittsburg or Cleveland territory

GeneralGeneralFull TimeRemoteSeniorTeam 501-1,000H1B No SponsorCompany SiteLinkedIn

Location

Ohio + 1 moreAll locations: Ohio | Pennsylvania

Posted

18 days ago

Salary

0

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

Senior Network Representative – Pittsburg or Cleveland territory

Martin's Point Health Care

• Handles high level contracting and renegotiations with large and strategic provider groups, and PHO’s • Leads the contracting effort for opening new expansion markets • Conducts high level provider education in-services • Develops PowerPoints for provider education trainings • Attends Quarterly Health Plan Sales meetings, submits monthly recruitment reports • Works closely with the Senior Network Operations Specialist and Senior Credentialing Specialist

Job Requirements

  • Bachelor’s degree or equivalent combination of education and experience
  • 5+ years of experience in department provider relations and health care including provider contracting involving physician, facility, and ancillary contracts experience
  • Valid driver’s license (no restricted or suspended license)
  • Significant proven advanced knowledge of managed care contracting and reimbursement methodologies
  • Understanding of health plan functions and activities
  • Proficiency in Microsoft Word, Excel, and Access Office Products

Benefits

  • Health insurance
  • Flexible work arrangements
  • Professional development
  • Paid time off

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