Network Manager II

Network Manager

Are you located in Knoxville, Tennessee and have experience working directly with providers? If so, you may be a perfect fit for an opening on our Provider Networks & Contracting team, focusing on the Knoxville market! We are looking for an energetic, detail-oriented individual to become part of this team as a Network Manager.

As a Network Manager, you will serve as the primary liaison and first point of contact for designated providers in Knoxville. Your role involves educating and assisting market providers, maintaining relationships through daily interactions, and providing technical support to correct errors and manage risks for both the insurer and provider. Strong interpersonal skills are essential for effective partnership and collaboration. You will work closely with network contracting and other BCBST matrix partners, such as enrollment and operations, to support providers and achieve market initiatives. Key skills for this role include collaboration, problem-solving, and organization.

The hiring team is looking for an individual with the following experience :

• 3 years of experience in provider relations and network development with emphasis on healthcare education and reimbursement
• Claim adjudication experience related to facility and professional providers
• Established relationships with providers in the Knoxville market
• Strong interpersonal skills, as building strong partnerships is key to the success in this role
• FACETS knowledge is preferred but not required

This is a remote position with occasional provider and team meetings in Knoxville, TN and surrounding counties.

Job Responsibilities

Job Qualifications

Education

Experience

Skills / Certifications

License

Employees who are required to operate either a personal or rental vehicle for company business on a routine basis

1 Opening Available

Employee

Company : BCBST BlueCross BlueShield of Tennessee, Inc.

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.