Provider Network Manager. The TPA will provide a dedicated and exclusive provider network manager who will consistently evaluate and manage the provider network, including recruiting, negotiating, and contracting with providers on behalf of the Plan and keep OI informed. The individual who serves in this role must have at least five (5) years of experience in provider contract negotiations. The Provider Network Manager shall analyze claims and network and non-network performance and shall meet with the OI staff at least quarterly to review network activities.
Appears in 2 contracts
Sources: Third Party Administration Services Contract, Third Party Administration Services Contract