Provider Network Specialist II

New
  • Location
    Springfield, Missouri
  • Category
    Health Care - General
  • Job reference:
    US_EN_7_810010_2750068
  • Job Type
    Direct Hire

Ajilon is seeking a Provider Network Specialist in Springfield, MO. This direct hire role offers the opportunity to work with and potentially grow within an organization that promotes internal upward mobility. The group offers an excellent benefits package to start that only improves with tenure.

In this position, employees will be expected to perform benefits analysis and create reports on provider performance to support the needs of the analysis found. As the liaison between provider and the health plan, candidates are tasked with ensuring improved revenue generated and patient quality score.

Responsibilities:

  • Perform health plan orientation for providers
  • Manage provider accounts with outreach programs
  • Educate providers on health plan initiatives
  • Create and maintain metrics for providers and improvement
  • Qualifications:

  • Bachelor’s degree or equivalent experience
  • Current driver’s license
  • Skills and Experience:

  • Minimum of 2+ years of managed healthcare
  • Minimum of 2+ years of provider reimbursement experience
  • Health information management experience preferred
  • To learn more about this healthcare job opening, please apply and submit a current resume to amanda.kirk@ajilon.com. Interested in a position other than this one? Browse our other non-clinical healthcare positions at www.ajilon.com.

    Please apply with your CV to:

    An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

    EEO - EEO Poster Suppl - Affimative Action Policy
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