Provider Network Specialist coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Being a Provider Network Specialist distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Additionally, Provider Network Specialist typically reports to a manager or head of a unit/department. The Provider Network Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Network Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
POSITION SUMMARY:
The Provider Network Specialist provides support to complete activities associated with credentialing of providers and collection of quality of service information for the Department of Children and Families (DCF) fee for service provider network and other provider networks as assigned. In addition, this position provides and coordinates administrative and provider relations support services. Duties may include application processing, maintenance of credentialed provider rosters, collection of quality of service information, and provider support service.
This position will represent ABH® and its services in a positive and professional manner and adhere to ABH®’s best practices, guidelines, policies and procedures as established, promoting ABH® as a leader in behavioral healthcare in all interactions and work.
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