What are the responsibilities and job description for the Provider Network Account Manager II position at Mitchell Martin, Inc.?
Title: Provider Network Account Manager II
Location: Los Angeles, CA
Position Type: Contract
Compensation
Pay Range:$40.00-$48.00 Per Hr
Description
Manage provider contracting and relationship processes, including drafting, negotiating, and implementing contracts.
Handle accounts that include large provider organizations and individual practitioners.
Ensure compliance with regulatory requirements and maintain network adequacy.
Provide orientation and educational visits to providers regarding practices and policies.
Oversee contract implementations and renegotiation functions.
Facilitate communication between providers and internal departments to resolve issues.
Support credentialing processes and investigate member complaints.
Key Responsibilities
Develop and maintain positive working relationships with providers.
Monitor network adequacy and ensure access to services.
Conduct provider training and maintain provider credentials.
Negotiate contract terms and ensure adherence to requirements.
Serve as a liaison between providers and internal departments.
Qualifications
Bachelor''s Degree or equivalent education/experience.
3-5 years of experience in contracting and/or regulatory analysis in managed care or healthcare.
3 years of healthcare experience in Managed Care or related settings.
Strong organizational and communication skills.
Knowledge of financial analysis and computer skills, including MS Office.
Contact Authorization:
By applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Message and data rates may apply for texts. Carriers are not liable for delayed or undelivered messages. You can access our privacy policy here
Onboarding Expectations
Learn more about our Onboarding Process here
EEO Statement
Learn more about our EEO policy here
#LI-MS3
Location: Los Angeles, CA
Position Type: Contract
Compensation
Pay Range:$40.00-$48.00 Per Hr
Description
Manage provider contracting and relationship processes, including drafting, negotiating, and implementing contracts.
Handle accounts that include large provider organizations and individual practitioners.
Ensure compliance with regulatory requirements and maintain network adequacy.
Provide orientation and educational visits to providers regarding practices and policies.
Oversee contract implementations and renegotiation functions.
Facilitate communication between providers and internal departments to resolve issues.
Support credentialing processes and investigate member complaints.
Key Responsibilities
Develop and maintain positive working relationships with providers.
Monitor network adequacy and ensure access to services.
Conduct provider training and maintain provider credentials.
Negotiate contract terms and ensure adherence to requirements.
Serve as a liaison between providers and internal departments.
Qualifications
Bachelor''s Degree or equivalent education/experience.
3-5 years of experience in contracting and/or regulatory analysis in managed care or healthcare.
3 years of healthcare experience in Managed Care or related settings.
Strong organizational and communication skills.
Knowledge of financial analysis and computer skills, including MS Office.
Contact Authorization:
By applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Message and data rates may apply for texts. Carriers are not liable for delayed or undelivered messages. You can access our privacy policy here
Onboarding Expectations
Learn more about our Onboarding Process here
EEO Statement
Learn more about our EEO policy here
#LI-MS3
Salary : $40 - $48