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Contract Managers play a critical role in managing the CareCentrix provider network. They support contracting activities and oversee network providers across multiple payers. In this position, you will prepare, analyze, negotiate, and maintain provider contracts for services delivered on behalf of our clients. You will build and maintain strong relationships with providers and internal partners to ensure a high level of engagement and satisfaction. Additionally, you will help shape and execute the network management strategy, including value‑based care initiatives, market expansion, compliance, and overall provider experience.
As a Healthcare Customer Service Expert within a high-volume call center environment, you will serve as the initial point of contact for patients seeking home healthcare services and for providers requesting authorizations to render services. You will manage a wide variety of inbound calls from quick, straighforward questions to more complex service requests.
Responsible for monitoring federal and state regulatory requirements impacting CareCentrix workers compensation, auto, and commercial programs operations and for supporting the compliant implementation of legal and customer requirements. Identifies and facilitates continuous improvement efforts to ensure compliance with applicable legal requirements. Secure and maintain required operational licenses.