Claims Manager/Provider Relations Specialist

NaphCare is hiring experienced Contract Management Specialist just like you to join our team at the Corporate Headquarters located in Phoenix, AZ

NaphCare is a family owned, medical technology company that has been delivering high quality healthcare to correctional facilities across the nation for over 30 years.  Come join our team of over 6000 employees and growing!  NaphCare pays well, offers outstanding benefits, and has an incredibly engaged corporate support team to make sure you have what you need to be truly excellent at what you do. 

NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare.  We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need.  Be part of a world-class team of professionals who are revolutionizing correctional healthcare as you use our cutting-edge resources, including our award-winning electronic operating system.

• →Assesses and completes market research for potential areas identified for comprehensive medical services for correctional facilities
• →Negotiates reimbursement rates and implements contracts with physicians and ancillary providers in geographically diverse areas for both existing and developing provider networks, including cold-calling medical providers
• →Coordinates the completion of provider contractual activities including the review of Requests for Proposals (RFPs), preparation of provider contract documentation, pricing documentation, and proposal submissions
• →Coordinates and attends start-up meetings with hospital and/or physician providers
• →Provides support to all contracted physicians

• Four year BA or BS degree is preferred
• Must have one to two years of healthcare experience; three to five years of healthcare experience is preferred
• Basic understanding of Medicare reimbursement required
• Organized and detail-oriented
• Strong verbal and written communication, negotiating skills
• A strong customer service orientation
• The ability to problem-solve
• Ability to work effectively in a fast-paced, result-oriented environment
• Ability to travel up to 25%

We know you may have questions before applying.  To speak to a recruiter directly, email your questions and/or resume to CorporateHR@naphcare.com with the position and location you’re interested in.

Equal Opportunity Employer: disability/veteran