Posted: Dec 7, 2025
Description: Acts as the primary resource for assigned providers or groups to establish, oversee, and maintain positive relationships Assists with or responds to complex issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues Optimizes interactions with assigned providers and internal business partners to establish productive professional relationships Monitors service capabilities and collaborates cross-functionally to ensure that needs of constituents are met Supports or assists with operational activities including database management and contract coordination Educates providers as needed to ensure compliance with contract policies and parameters Meets with key providers periodically to ensure service levels are meeting expectations Collaborates on implementation of large provider systems to manage cost drivers and execute specific cost initiatives Conducts standard provider recruitment, contracting, or re-contracting activities and assists with more complex contracting discussions May provide guidance and training to less experienced team members Requirements: 3+ years' experience in business segment environment servicing providers with exposure to benefits and/or contract interpretation Working knowledge of business segment specific codes, products, and terminology 3-5 years' experience with business segment specific policy, benefits, plan design and language Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills Benefits: Affordable medical plan options 401(k) plan (including matching company contributions) Employee stock purchase plan No-cost programs including wellness screenings, tobacco cessation and weight management programs Confidential counseling and financial coaching Paid time off Flexible work schedules Family leave Dependent care resources Colleague assistance programs Tuition assistance Retiree medical access Many other benefits depending on eligibility Apply Job!