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Senior Contracting & Network Strategic Consultant
Scope of DepartmentThe Provider Network Management department evaluates, initiates, and maintains the provider relationships for The OSU Health Plan faculty and staff provider network and external business provider networks, including but not limited to, Ohio PPO Connect. The department manages activities related to system and provider contracting, network and provider information management, and credentialing. Team members negotiate contract terms and ensure regulatory, business, and contract requirements are met. Responsibilities of the team include the development and support of statewide provider relationships, provider-related financial and quality analysis, network configurations, claim reimbursements, and other activities in support of provider networks
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