Provider Network Support Rep

Provider Contract Support Rep (Contingency Support Specialist)

Temporary, remote position

At MultiPlan, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and upward!!!

• This is a temporary position which is expected to last approximately 3 months
• Find more information on what it's like to be a MultiPlan employee on our Careers page at multiplan.com

JOB ROLES AND RESPONSIBILITIES

1. Process provider nominations within established guidelines.
2. Address and resolve issues that can be remedied within clearly defined guidelines, procedures and policies.
3. Consult with Network Development negotiator to resolve more complex escalated issues and coordinate activities to support the resolution of said issues. Contact providers to discuss network participation, contract compliance and overcome potential objections.
4. Educate providers regarding contract terms, contract rate, procedures and contract requirements. Manage alchemy contract retrieval processes.
5. Use approved contractual and communication documents in accordance with policies and procedures to support existing and proposed product portfolio.
6. Responsible for small group and individual provider contract negotiations. Maintain good working relationships with providers.
7. Support pre-credentialing functions for small group contracts. Support pre-credentialing functions for ancillaries, facilities and individual providers as determined by company/department initiatives.
8. Develop plans and goals for projects within assigned scope.
9. Make recommendations as appropriate to Regions with regard to specific providers, issues and trends. Communicate with operational areas regarding resolution of issues.
10. Track inquiries and resolution; maintain database of escalated provider issues; and prepare periodic reports summarizing network issues.
11. Collaborate, coordinate, and communicate across disciplines and departments.
12. Ensure compliance with HIPAA regulations and requirements.
13. Demonstrate Company's Core Competencies and values held within.
14. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.