Network Management Specialist

🕒 June 5

🌶️ New Mexico – Remote

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💵 $45.7k - $68.5k / year

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Logo of Magellan Health

Magellan Health

1001 - 5000 employees

💼 Consulting

🛡️ Insurance

🏥 Healthcare

💰 $101M Private Equity Round on 2004-01

Consulting • Insurance • Healthcare

Magellan Health is a leading healthcare management company that provides a range of services, including behavioral health, pharmacy management, and employee assistance programs. The company focuses on delivering high-quality care and support to individuals and families, particularly those in military and community settings. Magellan Health emphasizes personalized service and innovative solutions to improve health outcomes and enhance the overall patient experience.

📋 Description

• Support all activities related to developing and maintaining physician, practitioner, group, and/or facility services delivery system • Interact with all areas of organization to coordinate network management and administration responsibilities • Assess network needs and analyze network composition • Recruit individual, group and/or organizational providers to meet network adequacy standards • Conduct and coordinate contracting and amendment initiatives • Provide issue resolution and complex trouble shooting for providers • Conduct provider education and relation activities

🎯 Requirements

• Knowledge of National Committee for Quality Assurance (NCQA) requirements • Ability to work independently and prioritize activities • Intermediate knowledge of Microsoft Office Suite, specifically Excel • Strong presentations skills using PowerPoint • Minimum of 1 year experience in related position/field

🏖️ Benefits

• Comprehensive benefits package • Health, life, voluntary benefits • Short-term incentives

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