Texas Licensed Provider Consultant

Job Summary

To support Medicare and Medicaid provider services, the full-time Texas Licensed Provider Consultant will manage provider inquiries, facilitate internal and external communications, and assist in policy updates while working remotely.

Key responsibilities

• Research and resolve provider inquiries related to contract operations and claims payment
• Coordinate internal communications with Provider Network and Government Programs staff to address issues
• Educate and update the Medicaid and Medicare provider network community on policy and system changes

Required qualifications

• Bachelor's degree or 2 years of experience in the health insurance/managed care industry
• Strong knowledge of Texas Medicare claims and provider relations
• Proficiency in Microsoft Word and Excel
• Written and verbal communication skills for composing training materials and responses
• High School Diploma or GED