Network Management & Provider Relations Specialist

Magellan Health; Albuquerque (NM); On-site; USD 46,000 - 68,000; Full time

Benefits offered by this job

Health benefits

Life insurance

Voluntary benefits

Job summary

Magellan Health in Albuquerque, NM seeks a Network Management Specialist to support development and maintenance of the physician, practitioner, group, and facility network for MPPS and organization services.

You will coordinate network management, assess needs, recruit providers, conduct contracting, provide provider education, and perform audits for compliance with Magellan policies across multiple customers.

Qualifications

• Knowledge of NCQA requirements.
• Ability to work independently and prioritize activities.
• Intermediate knowledge of Microsoft Office Suite, specifically Excel.
• Strong presentations skills using PowerPoint.

Responsibilities

• Support development and maintenance of provider networks (physician, practitioner, group, facility) for MPPS and organization services.
• Coordinate network management and network administration responsibilities with multiple stakeholders.
• Recruit providers to meet network adequacy standards and ensure quality.
• Conduct provider education, site visits, and reporting to meet contractual requirements.

Skills

NCQA knowledge

Independent work style

Excel

PowerPoint

Education

GED or High School

Bachelor's (preferred)

Tools

Microsoft Office Suite

Job description

Magellan Health in Albuquerque, NM seeks a Network Management Specialist to support development and maintenance of the physician, practitioner, group, and facility network for MPPS and organization services.

You will coordinate network management, assess needs, recruit providers, conduct contracting, provide provider education, and perform audits for compliance with Magellan policies across multiple customers.