Job description

We're looking for a Provider Network Consultant , working in Insurance industry in Tulsa . Analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes Contracting, credentialing and maintaining Facility / Professional provider data to support marketing, network contracting across all lines of business Supporting the implementation of special projects, assisting with tracking of various phases of a project and managing workflow Assisting management in familiarizing and training team members with the various business rules in network contracting and credentialing across all lines of business Identifying gaps in processes and suggesting process improvement strategies. Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services. The results are low turnover, long-lasting partnerships and growth. Required Job Qualifications: Bachelor degree plus 1 year of experience with Provider Network contracting and credentialing systems OR 5 years of experience in the Health Care industry. Skills to develop training materials and act as an advisor to staff Experience and proficiency inn Microsoft Office software products including analytical tools. Subject Matter Expert for the Professional Provider Credentialing Process 2 years of experience with current government sponsored health insurance networks Knowledge of health care delivery systems, claim costing analytics, and provider network adequacy analytics

Requirements