Network Management Rep - Liverpool, NY - (Liverpool, NY)

Manages physician contracting, network development and provider relations for developing, executing and maintaining a provider network strategy. Works in concert with medical management and sales developing actions to meet market growth and medical cost targets. Provides service and education to network physicians/providers. Key functions: Services, contracts and negotiates with primary care, specialty physicians and ancillary providers for all product lines in assigned markets. Manages physician network by developing and maintaining relationships to drive business results within a specific geographic area. Identifies strategies to achieve Medical Expense Initiatives (MEI). Performs ongoing research to identify new providers or areas of expansion in assigned market. Responds to provider's contract requests and inquiries. Analyzes network gaps and identifies providers to contract. Reviews and amends provider's contracts when necessary. Evaluates contracted network to ensure functionality.