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Develop and maintain positive working relationships with contracted providers. Actively audit and monitor financial performance of all assigned providers to ensure network sustainability. Analyze, review, and project financial impact of contract arrangements. Initiate and maintain effective communication channels with internal business partners. Ensure accurate implementation and administration of contracts.
We are looking for a Provider Network Manager with:
Level I: 4 years' provider contract/network management, provider reimbursement methodologies, contracting, negotiation, or relevant experience
Level II: 6 years' provider contract/network management, provider reimbursement methodologies, contracting, negotiation, or relevant experience
Education: Bachelor's degree or equivalent work experience (Two years' work experience is equivalent to one year of college)
What a day of a Provider Network Manager may look like:
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