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Provider Network Account Manager II

Hybrid in Los Angeles, CA, US • Posted 7 days ago • Updated 7 days ago

Contract Corp To Corp

Contract W2

12 Months

Hybrid

$40 - $48/hr

Fitment

Dice Job Match Score™

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Job Details

Skills

Summary

Title: Provider Network Account Manager II

Location: Los Angeles, CA
Position Type: Contract

Compensation
Pay Range:$40.00-$48.00 Per Hr

Description
Manage provider contracting and relationship processes, including drafting, negotiating, and implementing contracts.
Handle accounts that include large provider organizations and individual practitioners.
Ensure compliance with regulatory requirements and maintain network adequacy.
Provide orientation and educational visits to providers regarding practices and policies.
Oversee contract implementations and renegotiation functions.
Facilitate communication between providers and internal departments to resolve issues.
Support credentialing processes and investigate member complaints.

Key Responsibilities
Develop and maintain positive working relationships with providers.
Monitor network adequacy and ensure access to services.
Conduct provider training and maintain provider credentials.
Negotiate contract terms and ensure adherence to requirements.
Serve as a liaison between providers and internal departments.

Qualifications
Bachelor''s Degree or equivalent education/experience.
3-5 years of experience in contracting and/or regulatory analysis in managed care or healthcare.
3 years of healthcare experience in Managed Care or related settings.
Strong organizational and communication skills.
Knowledge of financial analysis and computer skills, including MS Office.

Contact Authorization:
By applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Message and data rates may apply for texts. Carriers are not liable for delayed or undelivered messages. You can access our privacy policy here

Onboarding Expectations
Learn more about our Onboarding Process here

EEO Statement
Learn more about our EEO policy here

#LI-MS3

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: mitchmar1
Position Id: 26-12543
Posted 7 days ago

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