Director of Provider Networks
: Job Details :

Overview:

Director of Provider Networks

Full Time

Johnstown, PA

A cutting edge health managed organization providing medical services for the elderly is seeking a self starter to join our dynamic growing team. Applications are requested for a full time Director of Provider Networks

Responsibilities:

Responsibilities include:

• Negotiate provider contracts
• Maintain provider network to assure coverage of specialties
• Manage claim adjudication system to coordinate provider contract terms
• Review claim payments and reporting to providers

Qualifications:

The successful candidate will have supervisory experience and familiar with medical claim development and payments. Knowledge of Excel and Microsoft Word a must. College education preferred. We offer a competitive salary and benefits package including a matching 401 K plan

EOE