Sr. Network Ops Specialist

Under the supervision of the Director of Operations, the provider relations support specialist fosters and maintains relationships with multiple departments throughout the organization. To successfully nurture such relationships, professionals in the provider relations support specialist role must possess strong communication and multi-tasking skills. Furthermore, provider relations support specialists must have advanced customer service experience that will help them to address and resolve various types of issues, daily tasks, and successfully manage multiple projects at one time.
 
Job Responsibilities

• Establish key relationships both internally and externally
• Evaluate and organize list of initiatives and priorities
• Monitor and address emails from both internal and external constituents
• Support and assist with Key Performance Indicators
• Initiating and maintaining effective channels of communication across multiple teams  
• Gather, review, and verify all pertinent information related to projects / initiatives
• Responsible for maintaining relationships with healthcare providers
• Managing multiple competing priorities to assist with achieving company strategies and goals.
• Maintain a working knowledge of basic medical / health plan related terminology
• Assist in regulatory compliance activities as directed 
• Conduct pre-signature contract reviews
• Assist providers in ERA and EFT enrollment
• Other duties as directed
   

Qualifications and Skills

• Minimum 5 years related experience, proven and proficient in provider relations
• Basic knowledge and understanding of provider relations activities
• PC Proficiency and skills to include MS Office Suite Products and Google Products
• A proactive, results-driven individual who is comfortable working independently and as part of a team.
• Strong interpersonal, verbal, and written communication skills to build and maintain relationships with external providers and internal teams.
• Good analytical skills and highly organized with the ability to manage multiple tasks and priorities simultaneously.
• Ability to create presentations, training documents, reports, and analytical graphs.
• Highly organized and self-driven

 
Preferred Job Qualifications

• A minimum of 5 years’ experience in client services, provider services or contract management.
• Adept at problem solving and decision-making skills
• Adept at collaboration and teamwork
• Adept at execution and delivery skills
• Strong communication and problem-solving skills