About this role

Acts as the primary resource for assigned providers or groups to establish, oversee, and maintain positive relationships.
Optimizes interactions with assigned providers and internal business partners.
Monitors service capabilities and collaborates cross-functionally.
Supports or assists with operational activities including database management, and contract coordination.
Performs credentialing support activities as needed.
Educates providers to ensure compliance with contract policies and parameters.
Meets with key providers periodically to ensure service levels are meeting expectations.
Manages the development of agendas, validates materials, and facilitates external provider meetings.
Collaborates cross-functionally on implementation of large provider systems to manage cost drivers and execute specific cost initiatives.

3+ years' experience in business segment environment servicing providers with exposure to benefits and/or contract interpretation.
Working knowledge of business segment specific codes, products, and terminology.
3-5 years experience with business segment specific policy, benefits, plan design and language.
Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills.

Senior Analyst, Network Relations

Key skills