Jobs · Information Technology

Network Relations I

CorVel Corporation · Charlotte, NC · 6 days ago
RemoteRemoteInformation Technology$16.74–$26.92/hrFull-time
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 role. Candidate would preferably be located in the greater Charlotte, North Carolina Region and able to attend in office training for a minimum of 1 week at start of employment. Essential Functions & Responsibilities Assist Developer with implementing medical providers, using written and verbal communicationVerify all provider signatures, contracts and documentation before submitting for internal processingReview credentials of prospective providers to be considered for acceptance into network per national credentialing requirements and protocolsProvide orientation on managed care procedures and establish liaison(s) with all participating providersAssist and communicate with provider orientation program in cooperation with DeveloperDistribute and maintain provider manual and orientation materials per state guidelinesReceive and resolve all disputes involving provider contract and payment issues in accordance with contract Dispute Resolution ProceduresProvide assistance and respond to staff requests for information regarding the network, both locally and nationallyOversee distribution of executed contracts and maintenance of databaseAssist with network marketing, employer and payor relations and product developmentConduct and manage provider data audits that ensure data integrity for network and oversee all provider updates and changes with NDBCoordinate and process provider roster updates at least annually or as otherwise requiredPerform facility site surveys as needed per credentialing requirements or state guidelinesIdentify specialties within network and generate a recruitment list for DeveloperAdditional duties as assigned Knowledge & Skills Strong interpersonal skills and adaptive communication styleComplex problem solving skills and innovationAbility to quickly adapt to process changesAbility to prioritize and manage assignments, scheduled or unscheduledAbility to embrace new tools and procedures per corporate guidelines and objectivesStrong organizational skillsExcellent written and verbal communication skillsSuperb attention to detail and ability to deliver results in a fast paced and dynamic environmentProficient in Microsoft Office applications Education & Experience Associate’s degree or two or more years of equivalent work experienceCustomer 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 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. Pay Range: $16.74 - $26.92 per hour A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 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!). 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. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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