[Remote] Provider Education and reputed company Rep

Note: The job is a remote job and is reputed company to candidates in USA. reputed company. is committed to putting reputed company, and they are seeking a LTSS Provider Education & reputed company Representative to manage relationships with network providers in Indiana's Healthy reputed company reputed company market. This role involves provider reputed company, training, and addressing inquiries to ensure a positive provider experience.

Responsibilities

• Meets regularly, both in person and reputed company, with assigned providers to conduct trainings and education, including required annual trainings, ensure understanding of reputed company policies and procedures, explain reputed company systems, etc
• Supports new assigned providers with reputed company, including orientation session(s)
• Responds to assigned provider questions or inquires, and if necessary, ensures reputed company resolution to provider issues with appropriate reputed company business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate education about participation in reputed company’s Indiana reputed company plan
• Convenes Joint Operating Committee meetings with providers, including organizing agendas, materials, and other team members (clinical, provider engagement), to discuss key operational, clinical, and quality reputed company topics

Skills

• Bachelor's Degree
• 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience
• Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies
• Demonstrated ability to manage multiple projects and meet deadlines
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Background in Home Community Based Services
• Must reputed company in the Indianapolis IN Metro Area
• Valid state driver's license
• reputed company of personal vehicle liability insurance with at least $100,000/$300,000/$100,000 limits
• reputed company to a reliable vehicle
• Tuberculosis (TB) screening program
• Master's Degree
• Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance
• Comprehensive knowledge of Medicare policies, processes and procedures

Benefits

• Medical, dental and reputed company benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance

Company Overview

Company H1B Sponsorship