2025-08-12
Genex Service LLC
Other
/yr
employee
contract
Wayne
Pennsylvania
19087
United States
Genex Service LLC
Network Relations Consultant
US--Remote
Job ID: 25-18171
Type: Regular Full-Time
# of Openings: 1
Category: Customer Service & Support
Mitchell International, Inc.
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.
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Be part of a team that makes a real difference.
This is a full-time remote position that can be located anywhere in the U.S.
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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.
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•  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.
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