Insurance Network Specialist Bilingual English/Spanish

ROLE AND RESPONSIBILITIES The representative develops, builds and maintains networks of providers in existing primary network service areas. The representative works with physicians and various ancillary providers and facilities in the development of networks on either a Global ( company wide), Client specific or possibly even member specific basis. •Calling the provider, practice, hospital or health system •Speak with the office administrator, managed care contracting department, the billing department, or the provider themselves to discuss contract terms. •The representative then discusses the details of the contractual language and financial compensation arrangements with the providers and begins possible negotiations if necessary •The Contracting representative is additionally responsible for the continued growth of networks after initial contracts have been secured •Providing analytics as to network depth and breadth, discount averages, and savings generated. •Assisting with client/prospect disruption reports •Developing strategies and statistics for new network development areas. QUALIFICATIONS AND EDUCATION REQUIREMENTS •Bachelor degree in Healthcare related field, or Business Management •Prior provider contracting experience •Research into area pricing and competitive data ADDITIONAL NOTES •Pay is flexible •Travel would be very minimal, if any We are an Equal Employment Opportunity employer committed to excellence, diversity and inclusion. , , ,