| Job Location | Jeddah, Saudi Arabia |
| Education | Not Mentioned |
| Salary | Not Mentioned |
| Industry | Insurance & TPA |
| Functional Area | Not Mentioned |
Task and Responsibilities :? Assist in managing the TPA's provider network, ensuring network adequacy, andmaintaining up-to-date provider directories.? Coordinate with various departments to update and validate provider information inthe network.? Act as a point of contact for network providers, addressing inquiries, and resolvingissues related to network participation.? Support the Network Relations Manager in fostering positive relationships withproviders to enhance network satisfaction.? Collaborate with the Provider Relations team in negotiating and executing providercontracts.? Ensure accurate and timely contract administration, including contract renewalsand amendments.? Support the Network Relations Manager in identifying potential new providers toexpand and enhance the TPA's network.? Assist in evaluating provider applications for network inclusion and compliance withcredentialing requirements.? Ensure provider network compliance with regulatory standards, contractualobligations, and accreditation requirements.? Collaborate with the Compliance team to address any network-related complianceissues.? Assist in analyzing network data and provider performance metrics to assessnetwork effectiveness.? Prepare reports on network utilization, provider demographics, and network trendsfor management review.? Collaborate with the Provider Credentialing team to facilitate the timely andaccurate credentialing of network providers.? Provide support in collecting and verifying provider credentials and documentation.? Work closely with other departments, including Claims, Quality Assurance,Finance, and Operations, to ensure effective network operations and seamlessintegration of providers into the network.? Participate in the training and development of network relations staff to enhancetheir skills and performance.
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