What are the responsibilities and job description for the Lead Network Operations Specialist - ProCare position at Cantex Continuing Care Network?
Job Details
Description
Job Summary:
This position is a full-time hybrid role that is provider facing. This individual is responsible for the overall experience of providers, while also negotiating agreements with highly visible providers. Additionally, the Network Operations Specialist will collaborate with other departments to optimize the providers’ experience and overall efficiency of the Health Plan.
Essential Duties and Responsibilities:
Accountable for end-to-end provider experience and overall delivery
Fulfill Gap Closures and satisfy Adequacy Measures
Negotiate and Re-Negotiate Agreements
Conduct New Provider Orientations for newly onboarded providers
Submit Single Case Agreements when applicable
Track and Trend provider targets
Collaborate with all departments for any contractual needs or educational purposes
Responsible for capturing, documenting, and sharing market intelligence; drive strategic initiatives
Collect, analyze, interpret, translate and distribute provider information, reports, dashboards
Track and monitor provider performance
Deliver presentations to existing and prospective partners and providers
Complete regularly scheduled site visits and audits
Works with staff to resolve issues or complaints identified
Acts as a liaison between departments to ensure overall provider satisfaction
Qualifications
Preferred Qualifications:
College degree or equivalent work experience (2-5 years)
2 years of experience in Provider Relations, Contracting, and/or Healthcare
Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills
Ability to use PC software and multiple systems
Ability to work autonomously
Ability to travel required (20-50%)
**PREFERRED LOCATION: Dallas TX**
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level*
Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people.
Please visit cantexcc.com for more information on this location.
