Provider Relations Process Lead

Position Summary:

Responsible for developing, implementing, and monitoring the Plan’s contracting database to ensure accurate and timely information is provided to all affected departments. Develops and implements processes to monitor contractual obligations and ensure the Plan’s compliance with such. Has primary responsibility to develop and implement processes and supporting data to generate accurate and timely Provider Directories. Serves as a resource for the Contracting and Servicing staff in their day-to-day functions. Works collaboratively with all departments to support the contracting and servicing functions. Identifies and communicates process improvements to the contracting process and data requirements. Works with leadership on workflow process development and implementation for the Provider Relations Department.

Position Description »