Network Relations Consultant

Enlyte

  • Coventry
  • Permanent
  • Full-time
  • 4 hours ago
Company Overview:At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.Be part of a team that makes a real difference. Job Description:This is a full-time remote position that can be located anywhere in the U.S.We are seeking a qualified Network Relations Consultant who can work remotely from home. In this role, you will review and analyze provider contracts to resolve disputes, verify system logic for compliance with compensation policies, and examine contract performance to support network quality and financial goals. You will manage priority projects involving settlement negotiations, collaborate cross-functionally to address provider and legal issues, and optimize interactions with markets and internal business partners.
  • Reviews and analyzes provider contracts to resolve disputes, ensuring system compliance with compensation policies and procedures.
  • Manages priority projects requiring contract analysis, settlement negotiations, and cross-functional collaboration to resolve provider and legal issues.
  • Examines contract performance metrics to support network quality, availability, and strategic financial goals of Coventry.
  • Provides expertise in specialized applications, Excel analysis, and pricing that directly influences business operations and financial outcomes.
  • Educates and optimizes interactions with markets, providers, and internal partners to maintain effective relationships and meet provider needs.
  • Triages and resolves escalated issues as assigned by leadership, serving as a technical resource for contract interpretation.
  • Participates in remote training, utilizing prerecorded materials and a buddy system with senior team members to develop expertise.
Qualifications:
  • Education: Associates Degree or Bachelor’s Degree preferred
  • Experience: 5+ years Microsoft Excel, contract management and negotiations
  • Skills: Ability to advocate recommendations effectively with providers, employers, and customers. Ability to work iKnowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.
Benefits:We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $58,345 - $78,800 annually, and will be based on a number of additional factors including skills, experience, and education.The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.#LI-RM1#Remote

Enlyte