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Provider Network Director
Job Summary
A company is looking for a Director Provider Network to oversee the development and optimization of the provider network while managing claims issues.
Key Responsibilities
- Analyze claim issues and implement strategies for resolution
- Establish and maintain relationships with healthcare providers and negotiate contracts
- Develop long-term strategies for network growth and conduct performance monitoring
Required Qualifications
- 10+ years of experience in the health care industry
- 8+ years in a network management role with accountability for business results
- 5+ years of experience in provider contracting and financial modeling
- In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS) and related systems
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COMPLETE JOB DESCRIPTION
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