Network Provider Relations Specialist - Travel Ready

Nutex Holdco LLC; Austin (TX); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

401(k) matching

Dental insurance

Flexible spending account

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

Nutex Holdco LLC in Dallas seeks an IPA Provider Network Specialist to manage the physician network across IPA/Medical Groups. This full-time role requires travel and working under general supervision to build and maintain provider relationships.

You will analyze data, support network improvement plans, coordinate credentialing, and educate offices on policies. Strong communication and negotiation skills are essential, with a track record in network management.

Qualifications

• Bachelor's Degree in Marketing or Business Admin is required.
• Minimum of 2 years experience in Network Management within a managed care environment, health plan, or medical group administration.
• Strong MS Office and data interpretation skills.
• Excellent verbal and written communication; willingness to travel.

Responsibilities

• Completes new provider orientation for applicable product lines.
• Conducts provider group meetings to review monthly/quarterly data and outcomes.
• Follow-up on action items identified at meetings and maintain minutes.
• Perform site visits to service providers to educate staff and collect credentialing data.
• Educate providers on submitting Risk Adjustment Factor Data and HEDIS information.
• Build and maintain relationships with contracted HMOs and implement policy amendments.
• Respond to provider inquiries within 24 hours and resolve issues.
• Provide utilization reports and analytics to support network improvement plans.
• Identify network gaps and contract new PCP, Specialist, and Ancillary providers.
• Develop cost-saving opportunities with committees (UM, Claims).
• Train and mentor new representatives and lead special projects.

Skills

Provider relations

Negotiation

Communication

Data analysis

Education

Bachelor's degree in Marketing or Business Admin

Tools

MS Office

Job description

Nutex Holdco LLC in Dallas seeks an IPA Provider Network Specialist to manage the physician network across IPA/Medical Groups. This full-time role requires travel and working under general supervision to build and maintain provider relationships.

You will analyze data, support network improvement plans, coordinate credentialing, and educate offices on policies. Strong communication and negotiation skills are essential, with a track record in network management.