Contract Representative - National Accounts

| Austin
ABOUT THIS ROLE
Our Network team is responsible for partnering with our provider partners to turn local provider networks into market leading integrated delivery systems.
As our Contract Representative – National Accounts, you will collaborate with parts of our Network Development team in order to better support and service our portfolio of national provider partners. You will work closely with Network Development leadership to manage the flow of all current and future provider communications, service, issue resolution, and data management to and from our national provider partners to build the foundation for a strong connection between Bright and our national providers.

ROLE RESPONSIBILITIES

  • Provider Account Management:
  • Ongoing, professional, and effective touchpoints with active national contract providers in Bright’s network
  • Relationship manager for National provider partners’ provider relations, credentialing, and revenue cycle management staff
  • Provide high level of customer service
  • Build provider awareness of and engagement with Bright Health and our unique Care Partner model
  • Provider Education and Network Management:
  • Proactive research and resolution of provider issues including but not limited to claims submission, processing, and payment; contracting details; provider tools; and UM and other protocols
  • Ensure accurate ongoing collection of key provider data element updates and changes
  • Supporting providers through the credentialing/re-credentialing process, including addressing provider questions, ensuring timely completion of applications, and supporting the Bright Health credentialing team
  • Hold education sessions for providers to ensure alignment and understanding of Bright Health
  • Collaborate with National provider partner Provider Relations staff in the creation and distribution of orientation and educational materials to all levels of personnel
  • Provider Development and Contracting:
  • Support team members’ negotiation and execution of national contracts across various stages of contracting, as appropriate
  • Assist Network Development leadership in organizing national provider contracts, re-mediation, and priorities in service of both active and prospective markets
  • Help maintain contract management system for assigned provider contracts
  • Cross-functional Bright support:
  • Serve as internal Bright Health provider advocate by communicating national provider pain points and working with key stakeholders to advance our support of our contracted national providers
  • Integrate and align efforts with local market teams to deliver one cohesive, best-in-class experience to all Bright providers
  • Collaborate with Marketing, Sales, Provider Data, Credentialing, Operations, Clinical, and other teams to coordinate cross-functional in-market activities.
  • Other duties and/or responsibilities as assigned

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

  • Bachelor’s degree in Business, Health Care Administration, Communications or a related field is required.
  • Five or more years of experience in the healthcare industry navigating relationships around providers and insurance networks is preferred

PROFESSIONAL COMPETENCIES

  • Strong verbal and written communication skills
  • Possess strong business acumen and professionalism
  • Demonstrated ability to serve in a customer (provider) facing role and collaborative and relationship-driven style in building effective data transmissions between entities

WORK ENVIRONMENT
The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer. Some travel may be required.
ABOUT US
 
At Bright Health, we brought together the brightest minds from the health care industry and consumer technology and together we created Bright Health: a new, brighter approach to healthcare, built for individuals. Our plans are easy to manage, personalized and more affordable, giving people the quality care they deserve. Through our exclusive care partnerships with leading health systems in local communities we are reshaping how people and physicians achieve better health together.
 
We’re Making Healthcare Right. Together. 
We've won some fun awards like: Great Places to Work, Modern Healthcare, Forbes, etc. But more than anything, we're a group of people who are really dedicated to our mission in healthcare. Come join our growing team!
 
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
BRIGHT ON!

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Technology we use

  • Engineering
  • Product
    • .NETLanguages
    • C#Languages
    • JavascriptLanguages
    • PythonLanguages
    • SqlLanguages
    • PowerShellLanguages
    • D3JSLibraries
    • ReactLibraries
    • Node.jsFrameworks
    • MongoDBDatabases
    • TSQLDatabases
    • InVisionDesign
    • SketchDesign
    • Lucid ChartDesign
    • JIRAManagement
    • Microsoft ProjectManagement

Location

We are downtown at 515 Congress Avenue, right in the heart of downtown! Tons of restaurants and close to public transportation.

An Insider's view of Bright Health

What’s the vibe like in the office?

The office has a relaxed and laid back vibe but people are very serious about their work - perfect!

Anthony

Data Engineer

What does your typical day look like?

Our team works within an Agile framework with 2 week sprints. Tasks in my sprint that I tackle daily range from ideation, research, designing wires and mocks in Sketch, UI kit updates, prepping for an engineering handoff, etc.

Diane

Digital Product Designer

What makes someone successful on your team?

A hard-working team player who thinks first and codes next is likely to learn a lot and quickly become a valuable member of the team. Lots of experience with some of our tooling is always nice, but if someone can't knowledge-share well or responds poorly to code reviews and other requests for collaboration, it'll be a tough fit.

Brian

Full Stack Software Engineer

How do you make yourself accessible to the rest of the team?

Modeling after my manager, I like to provide both regularly scheduled one-on-one meetings, where developers and engineers get to set the agenda. We can talk about career development, design and architecture ideas, industry trends, or traditional HR topics like goal setting. It’s up to them. I also have begun setting regular “office hours.”

Amy

VP & Data Platform Architect

How do your team's ideas influence the company's direction?

We hire smart individuals who thrive on accomplishment and purpose. Our teams are exposed to the bigger picture through constant communication and dialogues – that encourages them to come up with innovative solutions to problems. We've made significant adjustments on our direction in technology and process that were initiated by the team.

Abdullah

VP, Engineering

What are Bright Health Perks + Benefits

Bright Health Benefits Overview

We have 3 different health insurance plans, all through Cigna (HDP, Premium HDP and PPO). We cover the majority of the cost for the employee and some cost for family. We have two dental plans and a vision plan as well. We have an open PTO program. We put 3% of your total earnings into your 401K plan and you are immediately vested in that. We have all the latest technology (Mac or Surface laptops – your choice) to use including standing desks. Fully stocked fridge with snacks and drinks.

Culture
Friends outside of work
Eat lunch together
Daily stand up
Open door policy
Team owned deliverables
Team based strategic planning
Pair programming
Open office floor plan
Diversity
Highly diverse management team
Mean gender pay gap below 10%
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Bright Health employees can contribute up to $3500 annually to their FSA.
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Retirement & Stock Options Benefits
401(K)
We will put 3% of your total earnings into your 401K plan, even if you don't put anything in. It's a safe harbor contribution.
Company Equity
Performance Bonus
Child Care & Parental Leave Benefits
Generous Parental Leave
We provide up to 6 weeks of parental leave for the primary caretaker. Acme Co. also provides 6 weeks of leave for the secondary caretaker.
Flexible Work Schedule
Acme Co. provides employees with a flexible work schedule that includes Core hours, Flexible start and end times.
Company sponsored family events
Acme co. sponsors family oriented events Quarterly.
Vacation & Time Off Benefits
Unlimited Vacation Policy
Paid Holidays
Perks & Discounts
Beer on Tap
Casual Dress
Commuter Benefits
Stocked Kitchen
Happy Hours
Happy hours are hosted on occasion.
Parking
We offer employees A parking subsidy.
Professional Development Benefits
Promote from within
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