Network Relations, Senior Analyst

• Acts as the primary resource for assigned, high profile providers or groups to establish, oversee, and maintain positive relationships
• Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships
• Monitors service capabilities and collaborates cross functionally to ensure that the needs of constituents are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved
• Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination
• Performs credentialing support activities as needed
• Educates providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures
• Meets with key providers periodically to ensure service levels are meeting expectations
• Manages the development of agenda, validates materials, and facilitates external provider meetings
• May collaborate cross-functionally on the implementation of contracts or provider demographic updates

• Working knowledge of business segment specific codes, products, and terminology
• 3-5 years experience with business segment specific policy, benefits, plan design and language
• Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills

6+ years experience in business segment environment servicing providers with exposure to benefits and/or contract interpretation

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs