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MEDICA HEALTH PLANS Provider Network Relationship in MADISON, Wisconsin

JOB REQUIREMENTS: Description Develops and maintains assigned provider relationships. Provides onboarding education/outreach, handles provider appeals, and resolves escalated provider issues. Reviews provider requests for inclusion in assigned territories and assists in analyzing impact to determine approval. Manages on-going provider needs relative to program roll-outs and medical policy change communication. Ensures that provider data is accurate. Qualifications: Bachelor\'s degree or equivalent experience in related field, plus 5 years of work experience beyond degree Skills Abilities: Metavance system knowledge or claims research experience preferred Experience with provider data setup preferred Familiarity with provider contracts preferred Ability to work independently and can manage priorities appropriately Must possess strong organizational, time management, verbal and written communication skills Strong attention to detail Ability to manage large volumes of work in a fast paced environment Strong interpersonal and relationship-building skills This position is a Hub role, which requires an employee to occasionally come onsite to the designated office - Madison, WI - for applicable heads-up work. Frequency is determined by business need as decided by leadership. The full salary range for this position is \$54,100 - \$92,800. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position\'s scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees. The compensation and benefits information is provided as of the date of this posting. Medica\'s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law. Medica\'s commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity/Affirmative Action employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected... For full info follow application link. Equal Opportunity Employer including Veterans and Disabled Individuals ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/C513AFAC52CA4418

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