Network Relations Manager

Konsus, Inc. (Superside); United States; Remote; USD 70,000 - 100,000; Full time

Job summary

A leading company, Konsus, Inc. (Superside), is seeking a Manager of Network Relations to build and maintain essential relationships with providers. This role focuses on enhancing provider satisfaction and ensuring operational efficiency within the network. The ideal candidate will have substantial experience in provider relations and knowledge of benefit plan design.

Qualifications

• 4 to 5 years of provider relations experience.
• Experience with specific policies and plan design.
• Working knowledge of CPT and HCPC codes.

Responsibilities

• Maintain relationships with complex providers and address related issues.
• Drive solutions to enhance provider satisfaction and network growth.
• Resolve escalated issues regarding claims payment.

Skills

Provider relations

Policy knowledge

Operational efficiency

Education

Bachelor's Degree

Job description

A company is looking for a Manager, Network Relations.

Key Responsibilities

• Establish and maintain positive relationships with complex providers, addressing issues related to policies, plan design, and provider education
• Drive implementation of solutions to enhance provider satisfaction, network growth, and operational efficiency
• Monitor service capabilities and resolve escalated issues regarding claims payment and contract interpretation

Required Qualifications

• 4 to 5 years of provider relations experience with non-standard relationships and exposure to benefit plan design
• 3 to 5 years' experience with specific policies, benefits, and plan design
• Working knowledge of CPT and HCPC codes and relevant terminology
• Ability to work remotely in specified states
• Bachelor's Degree or equivalent combination of education and experience