Network Relations Specialist
Enlyte
Company Overview The Enlyte Family of Businesses Mitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth. Job Description This is a full time, remote position. Candidates may reside anywhere within the U.S. Join our dynamic Networks Solutions team as a Network Relations Specialist and play a crucial role in maintaining and optimizing our provider networks, ensuring seamless operations and fostering strong relationships with healthcare providers across the nation. Your role will be instrumental in maintaining the quality, availability, and financial performance of our provider networks. In this role, you will: Review and analyze provider contracts to resolve disputes effectively Manage priority projects to ensure timely resolution of provider disputes, including negotiation of settlement agreements when necessary Verify system logic across various applications to ensure alignment with contract terms, compensation policies, and procedures Monitor and evaluate contract performance to support network quality, availability, and financial goals Work closely with legal, market teams, and internal business partners to review and resolve provider issues and disputes Educate and optimize interactions between markets, providers, and internal stakeholders to manage relationships effectively Triage and resolve escalated issues as assigned by leadership Develop and implement strategies to address complex provider concerns Examine contract performance metrics to support network quality, availability, and financial objectives Provide insights and recommendations for network optimization Qualifications Minimum Education: High School Diploma or equivalent Required Skills and Experience: 2-4 years of industry-related experience Strong oral and written communication skills Familiarity with healthcare provider networks and contracting processes Proficiency in Microsoft Office Suite, particularly Excel Desired Skills and Experience: Knowledge of Workers' Compensation and auto medical insurance Experience with Pricing Hub, Provider Hub, Salesforce, and/or PCM Ability to analyze complex data and draw meaningful conclusions Excellent problem-solving and negotiation skills 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 $48,000 - $61,000 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. #LI-Remote #LI-AC1
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