Senior Network Representative – Pittsburg or Cleveland territory

🔥 14 minutes ago

🏈 Ohio, Pennsylvania – Remote

🏈 Ohio – Remote 🔔 Pennsylvania – Remote

⏰ Full Time

🟠 Senior

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Martin's Point Health Care

WebsiteLinkedInAll Job Openings

501 - 1000 employees

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Wellness

Martin's Point Health Care is a healthcare organization committed to serving its local communities through high-quality primary and specialty care services. The organization places a strong emphasis on creating a positive workplace culture, recognizing employee contributions, and fostering workforce diversity. Martin's Point Health Care offers a range of career opportunities across various departments, from healthcare providers to corporate roles, and supports employee growth through competitive compensation, development programs, and generous perks. Additionally, the company is recognized for its community impact efforts, raising significant funds for community organizations and encouraging employee volunteerism.

📋 Description

• Handles high level contracting and renegotiations with large and strategic provider groups, and PHO’s • Leads the contracting effort for opening new expansion markets • Conducts high level provider education in-services • Develops PowerPoints for provider education trainings • Attends Quarterly Health Plan Sales meetings, submits monthly recruitment reports • Works closely with the Senior Network Operations Specialist and Senior Credentialing Specialist

🎯 Requirements

• Bachelor’s degree or equivalent combination of education and experience • 5+ years of experience in department provider relations and health care including provider contracting involving physician, facility, and ancillary contracts experience • Valid driver’s license (no restricted or suspended license) • Significant proven advanced knowledge of managed care contracting and reimbursement methodologies • Understanding of health plan functions and activities • Proficiency in Microsoft Word, Excel, and Access Office Products

🏖️ Benefits

• Health insurance • Flexible work arrangements • Professional development • Paid time off