Martin's Point Health Care
501 - 1000 employees
🛡️ Insurance
📦 Logistics
💼 Consulting
Insurance • Logistics • Consulting
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.
Senior Network Representative – Pittsburg or Cleveland territory
🕒 June 25
📊 Check your resume score for this job
Improve your chances of getting an interview by checking your resume score before you apply.
Martin's Point Health Care
501 - 1000 employees
🛡️ Insurance
📦 Logistics
💼 Consulting
Insurance • Logistics • Consulting
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
Apply NowSimilar Jobs
🕒 June 25
Inspecting machinery for online sale at bidadoo, requiring significant mechanical experience and customer engagement. Managing inspection processes and ensuring top-notch service for customers in auction settings.
🕒 June 25
Patient Accounts Representative managing patient calls and billing according to HIPAA regulations for nimble solutions, a revenue cycle management provider.
🕒 June 25
Claim Representative III handling complex property claims. Supporting claims team with technical expertise and mentoring junior staff while ensuring successful claim resolutions in a field-based role.
🕒 June 25
Specialty Representative for AbbVie managing relationships and sales performance in Psychiatry sector. Focused on neuroscience with responsibilities in territory management and brand strategy execution.
🕒 June 25
Multi-Line Representative at State Farm focusing on customer relationships and support. Engaging with customers to meet their insurance needs as part of a high-performing team.
