Supports, develops, and maintains service relationships with physicians, providers, and administrators of a provider network. Collects feedback from network stakeholders to survey satisfaction and facilitate communication. Responds to inquiries about referrals, eligibility, credentialing, and other policy matters and escalates or directs complex questions as necessary. Tracks and documents inquiries to ensure issues are resolved in a timely manner and creates routine reports to identify trends for management. Trains healthcare providers and physicians on network operating policies and procedur ...es to ensure optimal network service standards. Requires a bachelor's degree. Typically reports to a manager. Work is closely managed. Works on projects/matters of limited complexity in a support role. Typically requires 0-2 years of related experience.More Show Less
Create an Alert for Provider Relations Representative Jobs
Create a Job Alert
Get notified when new Provider Relations Representative jobs are posted
Looking for a way to make an impact and help people. Join PacificSource and help our members access quality, affordable care. PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin,...
Job Summary. The Provider Relations Representative will develop working relationships with in-network providers, clinics, and hospitals. They will manage assigned providers for whom they are the principal point of contact and assist with additional providers as needed. Under the supervision of the Director of Provider Communications, the Provider Relations Representative is expected to ensure that provider offices are fully educated on appropriat...
Job Description. In this role, you will serve as the advocate for our providers, demonstrating accountability and ownership in resolving issues. You will be responsible for providing exceptional service in a multi-channel environment, including call, dual chats, and email as required. Responsibilities. Triage contacts from various sources, including calls, chats, and emails. Collaborate with internal stakeholders to resolve complex issues. Docume...
Job Overview. We are seeking a motivated and result-driven Provider Relations Representative to join our team. This role will focus on building and maintaining positive relationships with healthcare providers in the community ensuring smooth communication between the providers and our organization. The ideal candidate will bring a strong background in healthcare provider relations and marketing to drive success in our network expansion and provid...
Job Details. Job Location. SLO Office - San Luis Obispo, CA. Position Type. Full Time. Salary Range. Undisclosed. Job Category. Provider Relations. Description. California Hourly Rate: $29.41 - $42.65. Job Summary. The primary responsibility of this position is leading, engaging, and facilitating the development of CenCal Health’s provider network through recruitment, contracting, communication, and developing relationships to support strategic o...
Description. RESPONSIBILITIES. Establishing and maintaining relationships with assigned healthcare providers through office visits, telephone calls, prompt resolution of issues, and excellent customer service. Serve as main contact for physicians and their teams, answering questions, providing support, and guiding them through our services, protocols, and processes. Work closely with Women’s Imaging Specialists Regional Managers and the Director ...
About Brandon J. Broderick, Attorney At Law. Brandon J. Broderick is a prestigious and forward-thinking law firm committed to delivering exceptional legal services. With a blend of tradition and innovation, we are dedicated to staying at the forefront of legal practice and technology. Come join a team, in a fast-paced environment, where the culture values Transparency, Accountability, Empowerment, Teamwork, Passion, Giving Back, Diversity, and In...
About Brandon J. Broderick, Attorney At Law. Brandon J. Broderick is a prestigious and forward-thinking law firm committed to delivering exceptional legal services. With a blend of tradition and innovation, we are dedicated to staying at the forefront of legal practice and technology. Come join a team, in a fast-paced environment, where the culture values Transparency, Accountability, Empowerment, Teamwork, Passion, Giving Back, Diversity, and In...
Volunteers of America National Services- PACE is seeking a Provider Relations Representative to service our Kentucky PACE communities. Looking for someone that can travel between Louisville, KY (Jefferson County) and Florence, KY with surrounding counties (Boone, Campbell, Carroll, Kenton, Grant, Gallatin, Pendleton and Owen). Schedule. . M-F 8:00 AM-5:00 PM Service Area locations and in the field sales. Service Area Locations. 960 South 4th Stre...
Volunteers of America National Services- PACE is seeking a Provider Relations Representative to service our Kentucky PACE communities. Looking for someone that can travel between Louisville, KY (Jefferson County) and Florence, KY with surrounding counties (Boone, Campbell, Carroll, Kenton, Grant, Gallatin, Pendleton and Owen). Schedule. M-F 8:00 AM-5:00 PM Service Area locations and in the field sales. Service Area Locations. 960 South 4th Street...
American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. This division currently operates in Tennessee, Georgia, Mi...
Remote and must live in Contra Costa County for provider visits. Job Description. Job Summary. Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point o...
