Provider Relations Network Specialist Jobs in Massachusetts

Proactive, analytical relationship management expert

Strong organizational and planning skills to manage multiple priorities and meet required deadlines

Access to continual education through CareMax University

Experience working with VBCs (value based contracts)

Minimum of three (3)– years of provider network operational experience

Strong analytical, critical thinking and problem solving skills to ensure process improvement and projects are completed successfully

Detailed orientated problem solver with excellent time management skills and ability to meet filing due dates

Associates Degree in Health Administration, Business Administration, Regulatory Science or an equivalent combination of education and work experience in related field.

Two to three years of experience working in health insurance and regulatory industry

Strong writing, communication and interpersonal skills

Health insurance industry experience preferred

Participate in oversight calls with PPO Networks and vendors to coordinate regulatory compliance and document meeting minutes that meet regulatory guidance.