Director of Provider Networks

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Job description

Overview:
Director of Provider Networks

Full Time

Johnstown, PA

A cutting edge health managed organization providing medical services for the elderly is seeking a self starter to join our dynamic growing team. Applications are requested for a full time Director of Provider Networks

Responsibilities:
Responsibilities include:

Negotiate provider contracts

Maintain provider network to assure coverage of specialties

Manage claim adjudication system to coordinate provider contract terms

Review claim payments and reporting to providers

Qualifications:
The successful candidate will have supervisory experience and familiar with medical claim development and payments. Knowledge of Excel and Microsoft Word a must. College education preferred. We offer a competitive salary and benefits package including a matching 401 K plan

EOE

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