Network Relations I

About the role

The Network Relations role supports the frontline of Network Development, responsible for providing excellent customer service while impacting and overseeing provider data integrity. This role must combine strong interpersonal skills with an aptitude in the medical provider market. This is a remote position.

Essential Functions & Responsibilities

• Aid the Developer in implementing medical providers, utilizing both written and verbal communication.
• Verify all provider signatures, contracts, and documentation before submission for internal processing.
• Review the credentials of prospective providers to be considered for network acceptance according to national credentialing requirements and protocols.
• Provide orientation on managed care procedures and establish liaison(s) with all participating providers.
• Collaborate with the Provider Orientation Program in cooperation with the Developer.
• Distribute and maintain provider manuals and orientation materials in compliance with state guidelines.
• Handle disputes involving provider contracts and payment issues in accordance with contract Dispute Resolution Procedures.
• Offer assistance and respond to staff inquiries regarding the network, both locally and nationally.
• Manage the distribution of executed contracts and maintain the database.
• Support network marketing, employer and payor relations, and product development.
• Conduct and manage provider data audits to ensure data integrity for the network and oversee all provider updates and changes with NDB.
• Coordinate and process provider roster updates at least annually or as otherwise required.
• Perform facility site surveys as needed per credentialing requirements or state guidelines.
• Identify specialties within the network and generate a recruitment list for the Developer.
• Perform additional duties as assigned.

Knowledge & Skills

• Strong interpersonal skills and adaptive communication style.
• Complex problem-solving skills and innovation.
• Ability to quickly adapt to process changes.
• Ability to prioritize and manage assignments, scheduled or unscheduled.
• Ability to embrace new tools and procedures per corporate guidelines and objectives.
• Strong organizational skills.
• Excellent written and verbal communication skills.
• Superb attention to detail and ability to deliver results in a fast-paced and dynamic environment.
• Proficient in Microsoft Office applications.

Education & Experience

• Associate’s degree or two or more years of equivalent work experience.
• Customer service education/training within the insurance industry, managed care, or related field.

Pay Range

CorVel uses a market-based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during the interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Benefits

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

About Corvel

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).