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Provider Relations and Contracting Analyst, Managed Care Administration
Job Summary Partners with Provider Relations and Contracting leadership to support contracting strategies and evaluation of the network for adequacy. This includes detailed analysis of cost, utilization, claims data review, performance, viable contract arrangements and recommendation explanations. The Analyst will apply problem solving and analytical skills to sustain current business models and implementation of process improvement opportunities. Analyst ensures quality controls are in alignment with the of provider recruitment and, Join the Network initiatives. Responsibilities * Accesses financial impact of proposed contracts and One Time Agreement rates, across all lines of business. (Commercial, Medicare, Medicaid/C


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