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Account Manager / Provider Network, Geisinger Health Plan (Pennsylvania Resident)
Job SummaryManages day to day relationships with the Health Plan partners and providers. Performs provider recruitment, contracting and relationship management. Coordinates the implementation of and all lifecycle activities of a partnership and/or relationship. Responds to complex inquiries, solving non-routine problems and ensuring partner and/or provider satisfaction. Acts as a technical resource regarding policies, procedures, workflows, complex partner/provider issues and training needs.Job DutiesDevelops, negotiates and renegotiates contractual and financial arrangements with physician, ancillary and institutional providers.Collaborates internally with departments such as Sales, QI, Medical Management, Customer Service and claims to align strateg
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