Andvaris Inc’s Post

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New Job Alert! Provider Network & Service Specialist What We Do? We’re one of Florida’s premier not-for-profit health plans, offering comprehensive Medicare Advantage, Individual and Family, and Employer Group coverage across numerous counties, including Miami-Dade, Broward, and Palm Beach, serving 52 counties statewide. What is a Provider Network & Service Specialist? A Provider Network & Service Specialist is key to executing service and education vital to our Unit Cost Contracting and Value-Based Relationship strategies, including provider servicing, data management, contract lifecycle maintenance, and enhancing provider/member experiences. Schedule and Shift: Hybrid work model Regular working hours: Monday to Friday, 8:30 AM to 5:30 PM Must have the capability to work remotely if required 16 month project    Responsibility: Manage contract life cycle, provider education, outreach, and claims-related projects. Maintain facility rate matrices, negotiation timelines, and support provider directory content review. Coordinate provider adds, updates, and termination processes. Conduct access and adequacy analyses and manage Letter of Agreement (LOA) negotiations.   QUALIFICATIONS: Education: Associate’s degree required, Bachelor’s preferred in Business Administration or a related healthcare field. Experience: 3-5 years in health plan provider network contracting/service, with experience in hospital & ancillary or value-based contracting preferred. Skills: Excellent communication, proficient in Microsoft Office, organized with the ability to manage multiple priorities. Apply Now - https://lnkd.in/ew8V6RuQ

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