Birmingham: External Network Operations Representative

Birmingham:External Network Operations Representative

 

HealthSpring, a health maintenance organization is dedicated to improving the health of the community we serve by delivering the highest quality and greatest value in healthcare benefits and services.

 

The External Network Operations Rep must be an outgoing, detail-oriented individual to support the administrators in managing the financial and operational activities of the contracted networks of physicians to which assigned. Position requires that the majority of time be spent externally.

 

Responsibilities include:

Support in the management of multiple networks:Verify/distribute monthly financial packets Lead/conduct meeting, complete understanding of information presented and ability to field questions from providers Coordinate with finance/business support to ensure all information is correct and timelines are met Prepare agendas for various board meetings, take minutes Educate and update office staff on provider manual policies and procedures Monitor weekly claims, encounter trends/issues and coordinate with claims office Assist administrator with physician contracting and rate negotiations Other duties as assigned

 

Requirements include:

· College degree preferred, or equivalent years of industry work experience required.

· Managed care experience preferred, or work experience in office environment.

 

To be considered, please visit our employment website at http://www.myhealthspring.com/employment.php?smkt=al and apply for this position!

 

Select Department:  Network Operations

Select Position: External Network Operations Representative

 

Attach resume. Include salary history/requirement. No phone calls accepted.



HealthSpring, Inc. is an EEO/AA employer.