Network Contractor - Crestline (Contract Position)

This is an hourly contract position.

The Network Contractor works with Crestline’s Health Plan clients to conduct Medicaid provider recruitment in a designated geographic area.  This position conducts and facilitates, on an ongoing basis, telephonic, email, and faxed outreach to identified medical and specialty health providers. 

The multi-purposes of the position include:

1. The establishment of positive relationships with the provider;
2. The determination of the provider’s willingness to contract with the health plan;
3. Contract negotiation, loading provider data, and supporting outreach efforts.

Responsibilities involve standardizing and loading new provider contracts, responding to provider inquiries, and ensuring provider data integrity.

Required Skills

• Customer service and PC skills, including the use of EXCEL or other database tools are required.
• Prior experience with Quickbase is a plus.
• Knowledge of healthcare terminology, provider types, and administrative provider functions preferred.
• Provider contracting experience preferred.
• Strong verbal and written communication.
• Comfort level interacting with providers via telephone.
• Ability to work in a virtual production environment within business hours of differing time zones.

Other Information

• Hours may vary and are not guaranteed.
• This is a consultant position without benefits.
• Consultants are onboarded as 1099 and required to pay their own taxes.
• Consultants may need to provide their own equipment for project use – telephone and laptop.
• An undergraduate degree in healthcare administration or business plus 2-4 years of provider relations experience is typical.

Rate

• $50 per hour

References

• Must be available upon request

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)