To manage and strengthen relationships with healthcare providers, ensure efficient contracting and credentialing processes, and support strategic initiatives that enhance provider performance and service deliver.
• Lead and manage relationships with healthcare providers, ensuring alignment with company service and cost strategies.
• Oversee provider contracting, credentialing, performance reviews, and fee negotiations.
• Ensure accuracy and completeness of the provider database and network directory.
• Collaborate with internal teams (claims, customer service, operations) to resolve provider-related issues.
• Monitor KPIs such as provider turnaround time, patient feedback, and cost containment targets.
· Bachelor's degree in healthcare, business administration, or related field.
· 5–7 years of experience in provider network management or healthcare operations.
· Strong negotiation, communication, and stakeholder management skills.
· Proficient in data analytics and healthcare systems.
· Knowledge of regulatory requirements in the healthcare industry.
• Support implementation of provider-related projects including onboarding new networks and digital platform integration.
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