Job Summary

A health insurance company is in need of a Remote Clinical Program Consultant.

Core Responsibilities of this position include:

• Research and resolve provider/member/network inquiries
• Participate in the development of business strategy
• Ensure program compliance with state and federal regulatory requirements

Qualifications Include:

• 5 years of healthcare industry experience
• 1 year claims systems/reimbursement methodologies experience
• 1 year of Network Contracting experience
• NDB system knowledge