Baltimore, Maryland, USA
18 hours ago
Network Relations Consultant
Company Overview At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth. Be part of a team that makes a real difference. Job Description Reviews and analyzes contracts to resolve provider disputes. Verifies system logic of various applications to ensure compliance with contract and compensation policies and procedures, parameters, and process. Examines contract performance in support of network quality, availability, and financial goals and strategies of Coventry. Manages priority projects to ensure that a provider dispute is resolved, which may involve negotiation of settlement agreement Collaborates cross-functionally to review and resolve provider and legal issues and/or disputes. Educates and optimizes interaction with markets, providers and internal business partners to manage relationships and ensure provider needs are met. Triages and resolves escalated issues as assigned by leadership and senior leadership. Qualifications Minimum Education: Bachelor's Degree Required Skills and Experience: 5 years of Microsoft Excel, contract management and negotiations Desired Skills and Experience: Analytical skills, spreadsheets experience Benefits We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $58,345 - $78,800 annually, and will be based on a number of additional factors including skills, experience, and education. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.
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