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Date Posted: 04/20/2024
Job #: 3054958
Location: Denver
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Veterans, Reservists, Guardsmen and military family members are encouraged
to apply!!
We offer remote work opportunities (AK, AR, AZ, *CO, FL, HI,
IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC,
ND, OK, OR, SC, SD, TX, UT, VA/DC, *WA, WI & WY only)
Job Summary
Develops and maintains provider relationships within designated
state/territory, inclusive of relationships with both TriWest Network
Subcontractors and any directly contracted provider groups. Manages network
development activity with network subcontractors/network providers to ensure
network meets all access standards. Provider network includes hospital,
physician and ancillary service agreements. Provider Network Manager ensures
adherence with government operational manuals, monitors network access,
and resolves access issues throughout the assigned region. Facilitates
resolution of escalated provider issues, and promotes TriWest Corporate
initiatives. Ensures that Network Subcontractors fulfill all performance
obligations defined in their Health Network Agreement.
Education & Experience
Required:
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