CommuniCare Advantage is currently recruiting Provider Advocates for our Medicare Advantage health plan. This is a fully remote position that can be based anywhere in the state of West Virginia.

PURPOSE / BELIEF STATEMENT

Provider Relations Advocates are dedicated liaisons for the health plan and their providers. The Provider Advocates are responsible for creating long-term provider relationships and engaging with them regularly to ensure they are appropriately informed and updated on the product, the member service offerings, and the latest technology available. Provider Advocates directly support the Director of Network Operations, the Contract Manager, and Member/Provider Advocates.

WHAT WE OFFER

Beyond our competitive wages and Paid Time Off, we offer all full-time employees a variety of benefit options including:

• Life Insurance
• LTD/STD
• Medical, Dental, and Vision
• 401(k) Employer Match with Flexible Spending Accounts

QUALIFICATIONS / EDUCATION REQUIREMENTS:

Required:

• 2 years working in similar role
• Expert/Highly Skilled with computer skills: Windows - based applications and Microsoft applications
• Ability to travel throughout the designated local territory if necessary
• Advanced organizational and communication skills
• Four-year advanced degree or equivalent work experience in healthcare payors, healthcare management, provider relations, provider support, billing, or healthcare office management.
• 2 years healthcare experience or educational equivalent
• Skill in establishing priorities with independent coordination of day-to-day duties
• Function independently and responsibly with minimal need for supervision

Preferred Qualifications:

• Ability to develop and manage relationships
• Credentialing or Provider Relations experience
• Health plan experience
• Ability to manage multiple priorities
• Understanding of healthcare structures
• Understanding and experience with insurance and/or billing
• Experience in long term care
• Experience with medical terminology

JOB SKILLS:

• Must have strong oral and written communication skills.
• Must be detail oriented with an ability to work well both independently and in a team setting.
• Strong time management skills required. Must be able to prioritize and adhere to competing deadlines.
• Must be proficient with computer skills and Microsoft applications.

Qualified candidates, apply now for a chance to join our outstanding team!