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November 19, 2019  
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<< Back To Search Results Centene Coproration
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Provider Relations Specialist II

Position Description


Position Purpose: Serve as a liaison between providers, the health plan and Corporate to investigate and resolve provider claims

Conduct on-site provider orientations, including writing and updating orientation materials and assisting providers acclimated to plan website

Monitor financial performance of contracts

Investigate and document provider changes and correspondence

Coordinate with credentialing to ensure all appropriate documentation is received

Serve as a lead for key special projects

Recommend changes in pricing subsystems

Coordinate printing of provider directories with corporate and plan level entities

Investigate and respond to complex provider related issues and initiate change of provider related database information

Serve as a subject matter expert for provider relations activities and as a mentor for Provider Relations Specialist I staff

Ability to travel

Additional Information

Employment Type: Full-Time    
Position Location: Nashville, Tennessee

Apply For This Job: Provider Relations Specialist II


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