Network Engineer

• Support and direct involvement with negotiating contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards, strategy, and regulatory requirements.
• Conduct comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
• With support from your leader, utilizes data and analytics of provider financial issues and competitor strategies to inform negotiation and contracting decisions.
• Supports implementation of contracting policies and workflows; monitors and ensures effective and efficient contracting processes are in place.
• With input and support from their leader, monitor and analyze key metrics for network performance, cost, and provider satisfaction, and provide reports to leadership for assigned provider accounts.
• Ensure timely and professional resolution of provider issues
• Build and maintain positive relationships with healthcare providers to ensure network stability and quality.
• Assist in tracking and analyzing key performance indicators (KPIs) to monitor provider satisfaction and operational efficiency.
• Support provider onboarding, training, and resource distribution.
• Collaborate with internal teams such as Claims, Credentialing, and Contracting to resolve routine provider issues.
• Participate in process improvement initiatives to optimize workflows and enhance provider experience.
• Compliance with all applicable laws and regulations (DO NOT REMOVE - REQUIRED)
• Other duties as assigned (DO NOT REMOVE - REQUIRED)

Senior Network Contracting Specialist

• Responsible for provider recruitment and contracting of national ancillary providers including large or complex dialysis, laboratory, home infusion, and durable medical equipment providers, for all HCSC plans and lines of business
• Develop proposals and negotiate contracts
• Develop and maintain relationships with providers
• Responsible for education of providers and for ongoing provider service
• Provide subject matter expertise to improve efficiencies and results

Principal Network Management Consultant

• Managing, developing and maintaining harmonious working relationships with assigned providers
• Managing provider agreement negotiation operations

• Works independently leading and coordinating complex projects
• Designs, manages, implements, tests, documents, and supports enterprise networking systems
• Ensures enterprise network systems meet uptime requirements
• Develops and maintains extensive documentation for all managed systems
• Participates in disaster recovery projects and exercises
• Part of on-call schedule and shares coverage with the team

Network Engineer jobs in Tennessee

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Senior Network Contracting Specialist

Principal Network Management Consultant

Principal Network Management Consultant

Network Engineer II