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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # IPA, Network Provider Specialist [DALLAS] - **Company:** NUTEX HEALTH HOLDCO LLC - **Location:** Austin, TX, United States - **Experience:** Experienced - **Contract:** Permanent contract - **Skills:** Microsoft Word, Microsoft Excel, Data Analysis, Databases, Healthcare Effectiveness Data and Information Set, Microsoft Office, Network Administration, Microsoft PowerPoint - **Published:** June 18, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=76deb6081776810b ## About the Role Do you have experience in Vendor relationship management?, Do you have a Bachelor's degree?, * Knowledge of MS Office: Word, Excel, PowerPoint, Access Database. * Knowledge of MS Provider relations/customer service strategies. * Knowledge of MSO-VL and MMSE programs and services: Authorizations, Claims, Credentialing encounters, RAF, Star Ratings, IS/IR, etc. * Knowledge of Network development strategies and Provider Relations experience or similar background. * Knowledge of current MSO-VL and MMSE geo-access requirements. * Effective and efficient oral and written communication skills. * Knowledge of County provider demographics. * Skills in negotiating contract language and rate structures. * Skills to provide training and technical assistance to contracted providers. * Skills to evaluate and assess provider network to determine gaps and services needed. * Skills to identify and develop new providers to ensure accessibility. * Skills to monitor contract performance through site visits and data analysis. * Skills to facilitate contracted provider meetings. * Ability to represent the department or division professionally. * Ability to establish and maintain effective working relationships with contracted and potential providers. * Ability to resolve provider inquiries or requests promptly., * Bachelor's Degree in Marketing or Business Administration * Minimum of 2 years experience in Network Management within a managed care environment, health plan, or significant medical group administration. ## Description * Completes new provider orientation for all applicable product lines. * Conducts provider group meetings to review monthly/quarterly data and outcomes. * Responsible for meeting minutes and follow-up on 'TO DO' items identified at meetings. * Conduct site visits to service providers, resolve issues, educate staff and providers on policies, and collect credentialing information. * Conduct site visits to service providers and educate staff and providers on submitting Risk Adjustment Factor Data and HEDIS information. * Maintains relationships with contracted HMOs to implement amendments to DOFR, delegation, policy, and procedures. * Returns all routine calls from providers within 24 hours to establish consistent and robust relationships with provider offices. * Provide oversight on inquiries and claims issues and follow up with providers to ensure problems have been resolved. * Maintains provider office tools, including provider manual. * Supports regional Network Improvement Plan targets by providing utilization reports, ER contingencies, Frequent Flier Reports, and other analytics available to improve /maintain regions. * Identifies network gaps and completes contracts for PCP, Specialist, and Ancillary networks with in-depth knowledge of different fee schedules (Medicare/Medical/ASP/AWP). * Identifies new cost-saving possibilities through working with various committees, such as UM and Claims. * Understands and explains risk contracts (shared risk/entire risk). * Strategizes for membership growth and retention. * Provide training, mentoring, and guidance to new representatives. * Works on special projects as assigned or directed. ## Related Videos - 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