Senior Provider Network Liaison
Company: American Health Management Services LLC
Location: Franklin
Posted on: February 22, 2021
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Job Description:
American Health Plans, a division of Franklin, Tennessee-based
American Health Partners Inc. owns and operates Institutional
Special Needs Plans (I-SNPs) for seniors who reside in long-term
care facilities. In partnership with nursing home operators, these
Medicare Advantage plans manage medical risk by improving patient
care to reduce emergency room visits and avoidable
hospitalizations. This division currently operates in Tennessee,
Georgia, Missouri, Kansas, Oklahoma, Florida, Utah, Texas, and
Mississippi, with planned expansion into other states in 2021. For
more information, visit AmHealthPlans.com . JOB SUMMARY: The Senior
Provider Network Liaison will analyze reports to determine network
adequacy and market needs; educate and assist (as needed) Executive
Director, Market Contract Manager, and Provider Relations
Representative in existing health plan service area(s) regarding
contracting and credentialing functions. This position will have
provider education responsibilities including ongoing maintenance,
system training, and access to resources and will review contract
and credentialing packets for accuracy and completeness, maintain
professional and collaborative relationships and act as a resource
for current service areas for the Health Plan(s). ESSENTIAL JOB
DUTIES: To perform this job, an individual must accomplish each
essential function satisfactorily, with or without a reasonable
accommodation.
Keywords: American Health Management Services LLC, Franklin , Senior Provider Network Liaison, Other , Franklin, Tennessee
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