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CompIQ Solutions is a software and full-service provider focusing on the property and casualty medical bill review market. We provide an end-to-end solution for our clients leveraging our proprietary technology and software platforms in the delivery of our solutions and services. We focus our efforts on our three key stakeholders, in this order: 1) Clients; 2) Colleagues; 3) Company.

About this role

The Network Solutions Representative will be instrumental in enhancing our network solutions product through effective vendor and provider engagement. This role involves operational management, data analysis, and research to support the overall performance of our product. The ideal candidate will demonstrate a proactive approach to problem-solving and a commitment to continuous learning, with opportunities to develop skills and advance within the organization. This position offers a unique chance to contribute significantly to the growth of our product while fostering valuable relationships in the healthcare industry.

Duties and Responsibilities

Develop and maintain strong relationships with network vendors and providers to support the objectives of the network solutions product.
Facilitate effective communication and collaboration between vendors and internal teams.
Perform accurate data entry and maintain up-to-date records of provider contracts, pricing, and performance metrics.
Prepare network performance data to identify trends, cost-saving opportunities, and areas for improvement.
Assist in the review and verification of contracts and pricing agreements to ensure compliance, accuracy and follow up on outstanding issues with network partners.
Conduct research to identify potential providers and gather market intelligence to enhance network capabilities.
Stay informed about industry trends, state fee schedules, and best practices to support decision-making.
Oversee data management processes, ensuring accuracy and efficiency in documentation and workflows.
Collaborate with cross-functional teams to support various network initiatives and enhance overall client experience.
Prepare regular reports on network performance metrics and present findings to stakeholders, highlighting opportunities for improvement.
Contribute to the development of strategies to optimize network performance and achieve organizational goals.
Actively seek out and identify new opportunities for expanding the network solutions product, including potential partnerships and innovative service offerings.
Collaborate with management to implement strategies that support the organization's growth objectives and remain flexible to take on new responsibilities as the organization evolves.

Skills

Analytical Skills: Strong ability to interpret and analyze data, identify trends, and generate actionable insights.
Communication Skills: Excellent verbal and written communication skills for effectively engaging with vendors, providers, and internal stakeholders.
Organizational Skills: Exceptional organizational and time management abilities to handle multiple tasks and priorities efficiently.
Attention to Detail: Keen eye for detail to ensure accuracy in data entry, contract management, and reporting.
Problem-Solving Skills: Proactive and resourceful mindset to address challenges and seek innovative solutions.
Technical Proficiency: Advanced skills in Microsoft Excel for data analysis and reporting; familiarity with data management systems is a plus.
Interpersonal Skills: Strong relationship-building skills to foster collaboration and maintain effective partnerships.

Qualifications

Bachelor’s degree in business, Healthcare Administration, or a related field is preferred, but relevant industry experience may substitute for formal education.
2-4 years of experience in network management, healthcare, or a related industry.
Proven experience with data management and analysis.
Knowledge of healthcare networks, vendor relations, and regulatory compliance is preferred.
Familiarity with ancillary services and state fee schedules is a plus.
Demonstrated ability to work collaboratively in a team environment and independently when necessary.
Commitment to ongoing professional development and staying current with industry trends.

What We Offer

CompIQ Solutions provides our full-time, regular team members with the below benefits:

Fair and Competitive Salary
Flexible schedule in a hybrid or remote-work environment (depending on location)
Flexible Paid Time Off
Tuition Reimbursement
Student Debt Solution
Medical, Dental, and Vision Insurance
100% Company-paid Short-Term and Long-Term Disability
100% Company-paid Life Insurance with additional voluntary enrollment options
Employee Assistance Programs including counseling with up to 6 complimentary sessions
Monthly Wellness (Gym Membership) Stipend
Health Spending Account (HSA) and Flexible Spending Account (FSA) Programs
401(k) Plan with a 100% vested company match
Career development and growth opportunities

CompIQ Solutions is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. EOE/M/F/D/V

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CompIQ Solutions, LLC

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PPO Network Solutions Representative