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Job Description Summary:

Key individual in the Network Management department of the OhioHealth Clinically Integrated Network (CIN). This position is in place to manage and support the relationship between the physicians and payers in our network, managing current contracts on the physicians and the management of claims complaints and quality of care complaints. The handling of recruitment in areas that are identified as having a business need, and negotiations of their fee schedules. Audit payer rosters, update credentialing software (Cactus) after committee approval and verify and audit practice and demographic information is correct for directory, website distribution, and claims payment. This position is the Liaison between departments within OhioHealth for contracting and network product questions/issues.

Minimum Qualifications:

Bachelor's Degree

SPECIALIZED KNOWLEDGE

Use of Microsoft office products, including but not limited to Word, Excel, Outlook (email, calendar, and contacts), and PowerPoint.

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Credentialing

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment 

Remote Work Disclaimer:

Positions marked as remote are only eligible for work from Ohio.