829 GulfQuest, LP
Network Hospital Contracting Specialist - Houston, TX (Healthcare)
It's fun to work in a company where people truly BELIEVE in what they are doing!
We're committed to bringing passion and customer focus to the business.
This individual reports directly to the Contracting Manager (Network Operations Senior Advisor) and will develop and maintain positive relationships with hospitals, ancillaries and other provider types within the provider network. Will also support the activities of the Network Operations Contracting Department, including: negotiating contracts and single case agreements, assisting and supporting the contractual and operational relationship with providers, coordinating provider data bases, credentialing, resolution of claims and appeals; assisting with the analysis of medical cost trends for providers.
Coverage Area: State of TX, Medicare and Medicaid licensed service areas
Contracting and Credentialing Support
Coordinate Load Forms and Maintain Provider Data Bases
Provider Orientations and Operational Meetings
Resolution of Claims and Operational issues with Providers
Analyze Outpatient Cost Reporting for Providers
Other Duties and Responsibilities
Bachelor's degree or equivalent, relevant work experience, required.
At least one year or more of work experience, preferred
Excellent presentation, communication and customer service skills required. Excellent time management and relational skills. Demonstrated analytical skills. Strong organizational abilities with attention to detail.
Computer Skills: Microsoft Word, Excel, PowerPointQualified applicants will be considered without regard to race, color, age, disability, sex (including pregnancy), childbirth or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require an accommodation based on your physical or mental disability please email: SeeYourself@cigna.com. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.