Description

SUMMARY OF JOB: Under the direction of the Assistant VP, the Provider Relations Representative is primarily responsible for the contracting and management of relationships with providers as assigned. This position will act as the main contact for contracting, contracting questions, education as well as a liaison between the provider and the health plan to present, promote and resolve clinical and administrative concerns of providers. This is a full-time, exempt position. Hours are generally 8:00 a.m. to 5:00 p.m. Monday through Friday.

** Hybrid schedule available after training and approval**

PRIMARY responsibilities:

• Recruits providers to participate on provider networks.
• Travels in-state to provider facilities, as required, in order to accomplish the positions tasks.
• Orients new providers joining the networks.
• Builds and maintains strong relationships between the health plan, providers and practice managers.
• Assists other departments to accomplish special tasks as needed.
• Other duties as assigned.

Qualifications

EDUCATION, EXPERIENCE AND QUALIFICATIONS:

• Minimum of Associates Degree, or equivalent experience. Bachelors Degree preferred.
• Minimum of 1 to 3 years experience in healthcare contracting or working with provider offices preferred.
• Self-directed and motivated to succeed.
• Effective verbal and written communication and presentation skills.
• Professional appearance and behavior.
• Effective customer service skills.
• Proficient skills/experience with Microsoft Office Suite.