Martin’s Point Health Care
Senior Network Representative (remote) - Pittsburg or Cleveland territory
Pennsylvania - Home Office · Senior
Sponsorship not specifiedDetected 27 days ago
SalesExcelResearchLeadershipCommunicationProblem SolvingMentoringPublic SpeakingMicrosoft Office
About the role
- The Senior Network Representative is responsible for leading the contracting, negotiations, recruitment/expansion, and education functions within their assigned territories.
- The Senior Network Representative works closely with their leaders and senior leadership to negotiate high-level language and financial contracting terms to secure large contracts.
- The Senior Representative completes all high-level provider education, including but not limited to new provider orientations, comprehensive, site, and routine trainings.
Requirements
- Required License(s) and/or Certification(s):
Skills
- Significant proven advanced knowledge of managed care contracting and reimbursement methodologies
- Understanding of health plan functions and activities
- Proficiency in Microsoft Word, Excel, and Access Office Products
- Superior communication skills, both verbal and written
- Strong analytical skills to coach employees and providers on benefit and payment polices
- Strong negotiations skills
- Ability to make presentations and represent MPHC externally in public forums
- Strong attention to detail with the ability to organize and execute multiple activities simultaneously
- Problem-solving skills
- Ability to work collaboratively to meet goals
- Ability to work independently
- Ability to travel with potential overnights at least 50% of the time
Benefits
- Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond.
- As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community.
- This includes, but is not limited to, delivering clinical, financial, and service value to Martin's Point Health Plan Members.
Company info
- The Senior Network Representative will attend compliance and credentialing site visits to assure we are providing a quality network and meeting HEDIS/NCQA requirements.
Visa & Work Authorization
- This position is not eligible for immigration sponsorship.
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This listing is sourced directly from Martin’s Point Health Care's careers page and normalized into a canonical job model.