What are the responsibilities and job description for the Provider Relations Representative position at Capital Health Plan?
Location: Raymond Diehl
Area/Department: Network Services
Hours per week: 40
F/T or P/T status: Full-time
Schedule/Hours: M-F, 8 am - 5 pm
Job Summary:
Identifies gaps in the provider network, fosters positive relationships with network providers, and conducts site visits. Manages credentialing, recredentialing and provider complaint processes.
Minimum Qualifications:
Associate's degree (A.A.) or equivalent from a two-year college or technical school; or 3 years of experience in network services, provider relations, or a related field.
Travel for site visits and meetings as required, including both local and out of town destinations.