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Network Development Specialist
TAMPA FL 33603
Category: Health Care Industry
  • Your pay will be discussed at your interview

Job code: lhw-e0-85755441

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Centene Corporation

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  Job posted:   Tue Mar 13, 2018
  Distance to work:   ? miles
  1 Views, 0 Applications  
Network Development Specialist
ProfessionalPosition Purpose: Monitor and oversee network development efforts including facilitating network transitions and developing and maintaining the network analysis and network development plans. Monitor network performance. Develop and maintain all required State and health plan network reports including GeoAccess analysis, network readiness reports, etc.Develop and maintain provider transition spreadsheets.Review provider data reports and monitor network adequacy to provide recommendations for network enhancements Assist with the completion of annual and quarterly network analyses.Track and monitor all activities of the network development plans.Prepare network data for internal and external customers.Implement project plans and assist with project development efforts.Coordinate the completion of Arizona System of Care Plans.Work with providers to verify accuracy and timeliness of data submissions.Review provider profiles, implement and review corrective action plans as needed, and submit provider service delivery reports.Monitor and maintain internal and provider data integrity and facilitate data clean up.Create provider, claims, and membership data reports and data reconciliationProvide formal provider staff trainings as needed.

TITLE: Network Development Specialist

LOCATION: Tampa, Florida

REQNUMBER: 1091742

COMPANY: Network Development & Contracting

POSITION TYPE: Professional

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