6 Provider Relations Representative Jobs in Las Vegas, NV
Prominence Health is Hiring a Provider Relations Representative Near Las Vegas, NV
Learn more at: https://prominence-health.com/
Job Summary: Provider Relations Representative is responsible for assisting in the full range of provider relations and service interactions for all lines of business within Prominence Health Plan. Will assist in the design and implementation of programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Supports those who direct and implement strategies relating to the development and management of a provider network, identifying gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims; and is responsible for steerage initiatives, site visits, training, educating, and overall communications including portals, webpages, letters, and email messages. Responsible for the oversight and management of Medicare Quality Reporting during each performance year and through the annual reporting periods and ensures resources are in place to complete the annual GPRO reporting requirement.
Benefit Highlights
- Loan Forgiveness Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Career development opportunities within UHS and its 300 Subsidiaries!
- More information is available on our Benefits Guest Website: benefits.uhsguest.com
QualificationsQualifications and Requirements:
- BS, Bus Admin, Finance or similar field, or equivalent work history
- 2 years in HEDIS, ACO, or Care Gap reporting
- 2 years working with Medicare contracts and regulatory reporting requirements
- 3 years in managed care or medical insurance.
- 2 years working in a clinical setting.
- 1 year in a claims, customer service or provider support role.
- Excellent oral and written English communication skills including telephone etiquette.
- Superior interpersonal skills
- Proficient research, critical-thinking and analytical problem-solving skills
- Intermediate proficiency with Microsoft Office (Excel, Word, PowerPoint, Outlook).
- Self-starter and resourceful with ability to execute projects in a fluid and fast paced environment
- Strong organizational, planning and attention to detail skills.
- Valid Driver’s License, reliable transportation, and proof of insurance required
- Requires local travel and occasional out of area overnight travel required.
We believe that diversity and inclusion among our teammates is critical to our success.
Avoid and Report Recruitment Scams
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS
and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
If you would like to learn more about the opportunity, please contact Bridget Gomez at: bridget.gomez@uhsinc.com
Job Summary
Full Time
$58k-73k (estimate)
03/08/2024
06/18/2024
prominencehealth.com
Englewood, OH
25 - 50
Related Companies
The job skills required for Provider Relations Representative include Customer Service, Problem Solving, Managed Care, Microsoft Office, Initiative, Attention to Detail, etc. Having related job skills and expertise will give you an advantage when applying to be a Provider Relations Representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Provider Relations Representative. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Provider Relations Representative positions, which can be used as a reference in future career path planning. As a Provider Relations Representative, it can be promoted into senior positions as a Provider Relations Representative, Sr. that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Provider Relations Representative. You can explore the career advancement for a Provider Relations Representative below and select your interested title to get hiring information.
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