Provider Relations & Network Growth Specialist

American Health Plans; Odessa (TX); Remote; USD 65.000 - 90.000; Vollzeit

Benefits dieser Stelle

Affordable medical/dental/vision

Generous paid time off

TeleDoc 24/7/365

Disability plans

Employee Assistance Plan

401K retirement

Employee Referral Bonus

Zusammenfassung

American Health Plans, a division of American Health Partners Inc., operates I-SNPs for seniors in long-term care, contracting providers to improve care and reduce hospitalizations. The role supports CMS adequacy, provider education, and network development across multiple states with travel to provider locations.

The position requires healthcare industry experience, knowledge of provider payment methods, and the ability to work independently while coordinating with the team.

Qualifikationen

• Experience in the health care field is required.
• Prior experience in network development / network services is preferred.
• Prior experience with Medicare Advantage plans is helpful.

Aufgaben

• Contract providers and essential vendors in current service areas to maintain CMS adequacy and provide services to Plan members.
• Insure providers and essential vendors meet credentialing requirements for their service lines.
• Educate providers on Health Plan functions and roles in caring for members.

Kenntnisse

Healthcare experience

Network development

Medicare Advantage knowledge

Travel willingness

Ausbildung

Bachelor's degree or higher

Jobbeschreibung

American Health Plans, a division of American Health Partners Inc., operates I-SNPs for seniors in long-term care, contracting providers to improve care and reduce hospitalizations. The role supports CMS adequacy, provider education, and network development across multiple states with travel to provider locations.

The position requires healthcare industry experience, knowledge of provider payment methods, and the ability to work independently while coordinating with the team.