Provider Relations and Network Management (Credentialing)

RT Welter and Associates - Arvada, CO

Full-timeEstimated: $49,000 - $71,000 a year

RT Welter and Associates has an exciting new opportunity within our credentialing department! For over 25 years RT Welter’s team of consultants has assisted healthcare organizations with the business side of medicine. With so many opportunities, we are expanding our credentialing services and partnering with payers in network development!

RT Welter has an immediate, full-time opening for a provider relations and network management specialist. Duties include but not limited to:

  • Provider engagement and communication
  • Credentialing/re-credentialing including provider outreach and quality reviews, coordination of Primary Source Verification (PSV) and reporting (NCQA/URAC), coordination of virtual committee, provider roster management, monthly monitoring coordination, etc.
  • Credentialing policy and procedures development and maintenance
  • Provider relations
  • Provider directory management
  • Optimize workflows, timelines, capacity
  • Reporting

Position Requirements:

  • 2+ years of provider credentialing experience
  • 5+ years of provider relations experience including network management
  • 3+ years of provider relations department management experience
  • Experience with developing and maintaining credentialing policies and procedures
  • Ability to multi-task and work in a fast paced environment
  • Excellent verbal and written communication skills
  • Vast knowledge of Microsoft Office applications
  • Ability to work independently to start and ability to grow and manage team long term

Salary commensurate with experience. Excellent benefits offered.

Job Type: Full-time

Benefits offered:

  • Paid time off
  • Health insurance
  • Dental insurance
  • Healthcare spending or reimbursement accounts such as HSAs or FSAs
  • Retirement benefits or accounts
  • Flexible schedules
  • Other types of insurance