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Network Relations II

Glen Allen, VA 23059

CorVel is hiring a Network Relations II for the Glen Allen, VA office to work a hybrid schedule. This position is the frontline of Network Development, responsible for providing excellent customer service while impacting and overseeing provider data integrity. This individual must combine strong interpersonal skills with an aptitude in the medical provider market.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  • Assist Provider Network Manager or PPO Developer with implementing medical providers through use of correspondence and telephonic contact.
  • Verify all provider signatures, contracts and documentation before submitting for internal processing.
  • Review credentials of prospective providers to be considered for acceptance into network per national credentialing requirements and protocols.
  • Provide orientation on managed care procedures and establish liaison(s) with all participating providers.
  • Assist and communicate a provider orientation program in cooperation with Developer.
  • Distribute and maintain provider manual and orientation materials per state guidelines.
  • Provide assistance and be responsive to staff requests for assistance, information regarding the network, both locally and nationally.
  • Oversee distribution of executed contracts and maintenance of database.
  • Assist with network marketing, employer and payor relations and product development.
  • Conduct and manage provider data audits that ensure data integrity for network and oversee all provider updates and changes with NDB.
  • Coordinate and process provider roster updates at least annually or as otherwise required.
  • Perform facility site surveys as needed per credentialing requirements or state guidelines.
  • Identify anemic specialties within network and generate a recruitment list for Provider Network Manager or Network Developer.
  • Prepare and maintain medical panels of in-network physicians.
  • Requires regular and consistent attendance.
  • Maintain a professional appearance.
  • Additional duties as assigned.

KNOWLEDGE & SKILLS:

  • Strong interpersonal skills and adaptive communication style, complex problem solving skills, drive for results, innovative
  • Ability to continually adapt daily routines that allow each function to be manageable.
  • Ability to properly prioritize and manage assignments, scheduled or unscheduled
  • Ability to embrace new tools and procedures per corporate guidelines and objectives.
  • Strong organizational skills
  • Excellent written and verbal communication skills
  • Superb attention to detail and ability to deliver results in a fast paced and dynamic environment.

EDUCATION/EXPERIENCE:

  • Associate's degree or two or more years equivalent work experience
  • Proficient in Microsoft applications
  • Customer service education/training within the insurance industry, managed care or related field

About CorVel

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publically traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

About CorVel

 

Together, let’s do more.

We are a national provider of risk management solutions for the workers’ compensation, auto, health and disability management industries. We provide our clients with the information and insight they need to make smart decisions. We believe that together, we can deliver better results.

Innovation is our passion.

We invest in intelligent systems and the integrated ecosystem that keeps us all connected. Our commitment to innovation is why we are a nationwide leader in technology driven programs.

We strive for excellence.

With the right mix of savings and customer service, we effectively balance risk and reward. Our expertise and service delivery drive the results your program needs and the savings your bottom line wants.

Our purpose is care.

Every injured worker needs timely, compassionate care. We value your people and we advocate care for your employees. This purpose drives what we do together every day, which is to return injured employees to the workplace.