Provider Engagement Administrator I

Job Summary

A company is looking for a Provider Engagement Administrator I.

Key Responsibilities:

• Act as a liaison between Tier III and Tier IV providers and the health plan
• Manage network performance and drive provider performance improvement in various areas
• Facilitate provider trainings, orientations, and assist with claim resolution

Qualifications:

• Bachelor's degree in a related field or equivalent experience
• 0-2 years of provider relations, provider claims/reimbursement, or contracting experience
• Knowledge of health care, managed care, Medicare or Medicaid
• Bachelor's degree in healthcare or a related field preferred
• Claims billing/coding knowledge preferred