Claims Manager​/Provider Relations Specialist

Claims Manager/Provider Relations Specialist

Join to apply for the Claims Manager/Provider Relations Specialist role at Naph Care, Inc.

Naph Care is a family‑owned medical technology company that has been delivering high‑quality healthcare to correctional facilities across the nation for over 30 years. We employ over 6,000 people and offer outstanding benefits, competitive pay, and a highly engaged corporate support team to help you excel.

• Prescriptions free of charge through our health plan
• Health, dental & vision insurance that starts day one
• Lowest cost benefits – $44 for single, $105 for family
• Employment Assistance Program (EAP) services
• 401K and Roth with company contribution starting day one
• Tuition assistance
• Referral bonuses
• On‑site education
• Free continuing education
• Term life insurance at no cost to the employee
• Generous paid time off & holidays

Naph Care partners with NetCE to provide CEU/CME for our staff. NetCE uses a rigorous peer‑review process to keep all activities up to date, ensuring our employees meet state licensing requirements.

With Naph Care, you’ll play a critical role in our mission to be the leading provider of quality healthcare in the correctional industry. If you want a career that makes a difference, choose the company that’s different.

We support your growth and internal promotion. Once hired, we encourage employees to seek advancement and leadership opportunities.

• Assess and complete market research for potential areas identified for comprehensive medical services for correctional facilities
• Negotiate reimbursement rates and implement contracts with physicians and ancillary providers in geographically diverse areas, including cold‑calling medical providers
• Coordinate completion of provider contractual activities including review of Requests for Proposals (RFPs), preparation of provider contract documentation, pricing documentation, and proposal submissions
• Coordinate and attend start‑up meetings with hospital and/or physician providers
• Provide support to all contracted physicians

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

To speak to a recruiter directly, email with the position and location you’re interested in.

Equal Opportunity

Employer:

disability/veteran

Seniority level:
Entry level

Employment type:

Full‑time

Job function:
Finance and Sales

Industry: Hospitals and Health Care