Strategic Provider Network Relations Consultant

Socket.dev

Chicago (IL)

On-site

USD 70,000 - 110,000

Full time

5 days ago
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Job summary

Zing Health in Chicago seeks a Provider Network Relations Consultant to negotiate contracts and cultivate cooperative relationships with Medical Groups/IPAs, primary care, specialists, hospitals and ancillary Providers across the region.

You will serve as a liaison between network providers and Zing Health, monitor access standards, promote initiatives, provide training, collect credentialing documents, conduct orientations, and support reporting on contract performance.

Qualifications

  • 3–5 years of experience in Provider Relations or related Provider Services role.
  • Managed Care experience required.
  • Microsoft Office Suite experience including Word, Excel, and Outlook.

Responsibilities

  • Provides service and education to Network Providers.
  • Contracts and renegotiates Primary Care, Specialty Physicians and Ancillary Providers across product lines.
  • Collects credentialing and required documents for newly contracted providers.
  • Conducts Provider Orientations and ongoing education to Network Providers.
  • Understands and explains fee-for-service and risk contracts and provides reporting on contract performance.
  • Manages Provider Network by developing relationships to drive regional results.
  • Daily interface with providers and internal teams to resolve service issues promptly.
  • Performs special projects as assigned.

Skills

Provider Relations
Managed Care
Negotiation
Communication
Analytical
Organizational
Multi-tasking
Presentation
Education and Training

Tools

Microsoft Office

Job description

Zing Health in Chicago seeks a Provider Network Relations Consultant to negotiate contracts and cultivate cooperative relationships with Medical Groups/IPAs, primary care, specialists, hospitals and ancillary Providers across the region.

You will serve as a liaison between network providers and Zing Health, monitor access standards, promote initiatives, provide training, collect credentialing documents, conduct orientations, and support reporting on contract performance.

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