The Network Relations role supports the frontline of Network Development,
responsible for providing excellent customer service while impacting and
overseeing provider data integrity. This role must combine strong interpersonal
skills with an aptitude in the medical provider market.
This is a remote role.
Candidate would preferably be located in the greater Charlotte, North Carolina
Region and able to attend in office training for a minimum of 1 week at start of
employment.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Assist Developer with implementing medical providers, using written and
verbal communication
Verify all provider signatures, contracts and documentation before submitting
for internal processing
Review credentials of prospective providers to be considered for acceptance
into network per national credentialing requirements and protocols
Provide orientation on managed care procedures and establish liaison(s) with
all participating providers
Assist and communicate with provider orientation program in cooperation with
Developer
Distribute and maintain provider manual and orientation materials per state
guidelines
Receive and resolve all disputes involving provider contract and payment
issues in accordance with contract Dispute Resolution Procedures
Provide assistance and respond to staff requests for information regarding
the network, both locally and nationally
Oversee distribution of executed contracts and maintenance of database
Assist with network marketing, employer and payor relations and product
development
Conduct and manage provider data audits that ensure data integrity for
network and oversee all provider updates and changes with NDB
Coordinate and process provider roster updates at least annually or as
otherwise required
Perform facility site surveys as needed per credentialing requirements or
state guidelines
Identify specialties within network and generate a recruitment list for
Developer
Additional duties as assigned
KNOWLEDGE & SKILLS:
Strong interpersonal skills and adaptive communication style
Complex problem solving skills and innovation
Ability to quickly adapt to process changes
Ability to prioritize and manage assignments, scheduled or unscheduled
Ability to embrace new tools and procedures per corporate guidelines and
objectives
Strong organizational skills
Excellent written and verbal communication skills
Superb attention to detail and ability to deliver results in a fast paced and
dynamic environment
Proficient in Microsoft Office applications
EDUCATION & EXPERIENCE:
Associate’s degree or two or more years of equivalent work experience
Customer service education/training within the insurance industry, managed
care or related field
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary
depending on your location. Pay rates are established taking into account the
following factors: federal, state, and local minimum wage requirements, the
geographic location differential, job-related skills, experience,
qualifications, internal employee equity, and market conditions. Our ranges may
be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into
a different level, either up or down, based on assessment during interview
process taking into consideration experience, qualifications, and overall fit
for the role. The level may impact the salary range and these adjustments would
be clarified during the offer process.
Pay Range: $16.74 - $26.92 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel
Careers | Opportunities in Risk Management
[https://www.corvel.com/company/careers/]
In general, our opportunities will be posted for up to 1 year from date of
posting, or until we have selected candidate(s) to fulfill the opening,
whichever comes first.
ABOUT CORVEL:
CorVel, a certified Great Place to Work® Company, is a national provider of
industry-leading risk management solutions for the workers’ compensation, auto,
health and disability management industries. CorVel was founded in 1987 and
has been publicly traded on the NASDAQ stock exchange since 1991. Our continual
investment in human capital and technology enable us to deliver the most
innovative and integrated solutions to our clients. We are a stable and growing
company with a strong, supportive culture and plenty of career advancement
opportunities. Over 4,000 people working across the United States embrace our
core values of Accountability, Commitment, Excellence, Integrity and Teamwork
(ACE-IT!).
A comprehensive benefits package is available for full-time regular employees
and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability,
Health Savings Account, Flexible Spending Account Options, Life Insurance,
Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance,
Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with
ADA regulations as applicable.
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