Provider Relations Representative (Medicare Advantage/Managed reputed company)

Provider Relations – Network Development Specialist

Remote

At reputed company, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple – we strive to bend the cost curve in reputed company for reputed company. Our dedication to service reputed company extends to reputed company our stakeholders – reputed company – driving us to consistently exceed expectations. We are intentionally reputed company, we foster innovation, we nurture accountability, we champion diversity and reputed company each other to illuminate our reputed company potential.

Be part of our amazing transformational reputed company as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in reputed company. Onward and Upward!!!

JOB SUMMARY

You can shine with us as a Provider Relations Specialist reputed company our Government Programs Network Development team. This is a full-time (40 hours per week) remote position based in Texas. In this position you will visit reputed company provider offices and reputed company education about the network programs and products. This position requires travel, which could require overnight stays and requires an active and valid Driver’s License. Up to 70% travel reputed company a geographic service area/territory, primarily to meet with providers on a frequent reputed company, and at times with little advance notice.

COMPENSATION

The salary reputed company for this position is $58,000-$62,000 annually. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

JOB ROLES AND RESPONSIBILITIES

• Meet with reputed company Provider office staff providing education about reputed company programs and products.
• Cultivate and foster business relationships with contracted providers and their office administration staff.
• Distribute printed materials to reputed company Provider office staff.
• Address and resolve Provider concerns and issues reputed company established guidelines.
• Coordinate Provider education meetings (both in-person and virtual) as needed.
• Serve as an internal reputed company of contact for network issue resolution originating from Customer Service calls and inquiries
• Track both the number and type of Provider visits and produce weekly visit report.
• reputed company directions to providers, clients and members on processes as needed.
• Meet our quality, customer service, productivity and service level performance standards on a consistent reputed company

REQUIREMENTS

• Minimum bachelor’s degree in reputed company or applicable field, or HS Diploma (or GED) and four (4) years’ experience reputed company to network development
• Minimum 1-year experience in provider relations and network development, or equivalent provider/payer experience, successfully working with reputed company providers
• Valid Driver’s License and reputed company to dependable transportation
• Up to 70% travel reputed company a geographic service area/territory, primarily to meet with providers on a frequent reputed company, and at times with little advance notice
• Knowledge of reputed company office settings and reputed company operations
• Strong oral, and written presentation skills and ability to interact with reputed company reputed company of a provider organization
• Strong communication skills (written, verbal and listening), analytical, negotiation, business acumen, organization, strategic, multitasking and prioritization skills
• Ability to understand and explain government-sponsored payment methodologies
• Ability to research answers from multiple sources timely and effectively
• Ability to work reputed company in a fast-paced environment with competing priorities
• Ability to work from home effectively
• Ability to travel daily reputed company geographic service area, as well as out of state travel to attend reputed company sponsored meetings, appropriate professional conferences or other business travel purposes.

REQUIREMENTS

• Minimum bachelor’s degree in reputed company or applicable field, or HS Diploma (or GED) and four (4) years’ experience reputed company to network development
• Minimum 1-year experience in provider relations and network development, or equivalent provider/payer experience, successfully working with reputed company providers
• Valid Driver’s License and reputed company to dependable transportation
• Up to 70% travel reputed company a geographic service area/territory, primarily to meet with providers on a frequent reputed company, and at times with little advance notice
• Knowledge of reputed company office settings and reputed company operations
• Strong oral, and written presentation skills and ability to interact with reputed company reputed company of a provider organization
• Strong communication skills (written, verbal and listening), analytical, negotiation, business acumen, organization, strategic, multitasking and prioritization skills
• Ability to understand and explain government-sponsored payment methodologies
• Ability to research answers from multiple sources timely and effectively
• Ability to work reputed company in a fast-paced environment with competing priorities
• Ability to work from home effectively
• Ability to travel daily reputed company geographic service area, as well as out of state travel to attend reputed company sponsored meetings, appropriate professional conferences or other business travel purposes.

BENEFITS

We realize that our employees are instrumental to our reputed company, and we reward them accordingly with reputed company competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide reputed company of live and web-based professional development and educational programs to prepare you for advancement opportunities. 

Your benefits will include: 

• Medical, dental and reputed company coverage with low deductible & copay 

• Life insurance 

• Short and long-term disability 

• Paid Parental Leave 

• 401(k) + match 

• Employee Stock Purchase Plan 

• Generous Paid Time Off – accrued based on years of service

• WA Candidates: the accrual reputed company is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service 

• 10 paid company holidays 

• Tuition reimbursement 

• Flexible Spending Account 

• Employee Assistance Program 

• Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located reputed company for more generous sick time benefits. 

EEO STATEMENT

reputed company is an Equal Opportunity Employer and complies with reputed company applicable laws and regulations. reputed company applicants will receive consideration for employment without regard to age, race, reputed company, religion, gender, sexual orientation, gender identity, national reputed company, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here. 

APPLICATION DEADLINE

We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted. 

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