Provider Network Cover Letter

I am excited to be applying for the position of provider network. Please accept this letter and the attached resume as my interest in this position.

In my previous role, I was responsible for oversight to all new contracts to ensure that appropriate and timely claims system set up occurs and that rigorous testing yields appropriate outcome prior to payment methodology implementation.

My experience is an excellent fit for the list of requirements in this job:

• Successful experience managing a broad range of financial and organizational issues, such as organizational redesign, improving internal controls, financial turnaround, creating a performance oriented organization, and change management
• Record of positive relationships with providers and other staff that strengthened quality and service
• Demonstrated effectiveness in provider group contracting and managing health plan networks
• Excellent business development, negotiation and strategic planning skills
• Documented record as an effective team player who achieves divisional goals while helping others accomplish organization goals
• Consistent delivery of results to the satisfaction of internal and external customers
• Developing dynamic, constructive working relationships and partnerships with operational and physician partners
• Excellent interpersonal skills (negotiation, listening and communication skills) characterized by effective interactions with a diverse range of internal and external constituents, stakeholders and audiences

In response to your job posting for provider network, I am including this letter and my resume for your review.

In my previous role, I was responsible for operational support for assigned provider contracts for Enhanced Personal Healthcare Program and other Value Based programs.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Understands, maintains, clearly articulates and incorporates advanced and current subject matter knowledge of best practice methods and tools to improve results, processes, services and productivity
• Develops and coordinates the implementation of performance improvement measurement, reporting and feedback systems
• Serves as system administrator for contract management databases
• Secures resources, defines roles and responsibilities, sets direction, aligns and coordinates initiatives relating to enhanced operational performance or sustained division goals
• May lead, direct and / or participate in the vendor selection process including identification, evaluation and selection, the development of contracts and agreements, and contract compliance for tools and services related to provider network operations strategic initiatives
• Communicates clearly and professionally with all levels of the organization, from executives to front line staff, demonstrating an executive presence
• Oversees and manages support teams, which includes responsibility for the hiring, supervision, development and evaluation of colleagues
• Prepares periodic written reports and makes presentations to executive leadership summarizing activities, accomplishments and future recommendations

I would like to submit my application for the provider network opening. Please accept this letter and the attached resume.

In my previous role, I was responsible for technology and reporting training to value based entities as needed; serve as a resident expert on these applications/tools.

Please consider my experience and qualifications for this position:

• Extremely well versed in various software development life cycle models
• Hospital, ASC and Physician reimbursement experience is essential to this role
• Experience in provider contracting/wellness vendor management
• Strong proficiency with MS Excel and MS Power point
• Previous experience of managing provider network with Health, General Insurance co./TPA
• Familiarity with key hospital management team
• Graduate with Insurance knowledge and understanding of IRDA guidelines and compliance
• Oversees the maintenance of all Provider contract information, Provider Contract Templates and assures that all contracts negotiated can be configured in the QNXT system

In response to your job posting for provider network, I am including this letter and my resume for your review.

Previously, I was responsible for ongoing business direction relative to provider data structures that are regional in scope in support of claims adjudication and directory production.

My experience is an excellent fit for the list of requirements in this job:

• Provides expert leadership, analysis and implementation support in the areas of provider network operations including business issue identification and analysis, business process redesign, application of best practice methodologies, and identification of strategic and financial opportunities / risks
• Collaborates as a change leader in translating issues, goals and objectives into practical and integrated solutions and services that help to ensure optimum business performance
• Oversees the development and application of policies, standards, benchmarks, and quality controls
• Develops metrics to ensure resources or services are responsive, tracked, enhanced, and deliver high value
• Determines and recommends improvement alternatives
• Works in conjunction with staff, consultants, management and administration to design project plans, conduct studies, make recommendations and develop implementation plans for operations improvement that enhance productivity, resource utilization, and/or customer service
• Provides support to the Vice President of Health Partner Life Cycle and Chief Operating Officer for operating status reviews
• Provides assistance in both the analysis and implementation of initiatives specific to market service level agreements, employee engagement, quality, and compliance

I submit this application to express my sincere interest in the provider network position.

In my previous role, I was responsible for guidance in the resolution of complex claims payment and provider systems set-up issues.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Advanced training and proficiency in Six Sigma (DMAIC/DMADV), Lean methodologies, and other continuous improvement methodologies
• Knowledge of provider contracting and familiarity with provider network operations
• Knowledge of regulatory requirements for Medicaid, Medicare and Marketplace provider network operations
• Excellent oral, written and interpersonal communication skills to effectively interact, exercise discretion, judgment and diplomacy when dealing with internal and external customers
• Knowledge of managed care industry, trends, and accreditation, including quality improvement and NCQA provider network requirements
• Business acumen and strategic thinking, yet able to execute tactically
• Possess strong customer service skills for interpersonal interactions
• Leads team in a manner conducive to ongoing growth and expansion of knowledge for associate development