Apr 28, 2018

Provider Relations Representative

  • Franklin Paterson
  • Atlanta, GA, USA
Full time Insurance

Job Description

Atlanta , GA , United States

Negotiate complex competitive contractual relationships with providers according to prescribed guidelines in support of national and regional network strategies.
- Coordinate national recruitment activity with Provider Relations
- Good understanding of the management of dental cost issues.
- Maintains accountability for specific recruitment initiatives, supporting direct and implement strategies relating to the development and management of a provider network
- Identify gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs
- Identify and solve operational short-falls and researching and remediating claims.

- Must possess a successful track record of recruiting and negotiating. 
- Demonstrate a moderate level of knowledge and skills in own function
- Require little assistance with standard and non-standard requests
- Solve routine problems on own, work with supervisor to solve more complex problems
- Prioritize and organize own work to meet agreed upon deadlines

• EDUCATION: Bachelors degree required

• JOB DURATION: Part Time, Full Time



Healthcare Admin, Other, Insurance - General

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