Focuses on performing network analysis for specialty providers and gathering relevant data for benefit and network committee reviews. Focuses on coordinating with providers and assisting with benefit network appeals. Possess strong analytical skills, excellent communication abilities, and a thorough understanding of benefits and provider networks. Executes tasks with some direction provided. Completes analysis of data and program outcomes as assigned.
1. Benefits Program Maintenance and Daily Operations
2. Partnering & Relationships
3. Performance Improvement and Quality
4. Other Duties as assigned