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Network Educator - Richmond, Virginia

170 Sentara Health Plans, Inc.
Virginia, VA Full Time
POSTED ON 8/2/2023 CLOSED ON 8/12/2023

What are the responsibilities and job description for the Network Educator - Richmond, Virginia position at 170 Sentara Health Plans, Inc.?

City/State Richmond, VA Overview Work Shift First (Days) (United States of America) Sentara Health Plans is currently hiring a Network Educator This position is for candidates in Richmond, VA or surrounding area. The Network Educator will be responsible for developing and maintaining positive relationships with providers. Duties include, but are not limited to; periodic on-site visits, conducting provider seminars, communicating administrative changes, and facilitating resolution of non-routine claim issues and other billing questions. The Network Educator coordinates and conducts provider training and develops and distributes provider network materials. The Network Educator will act as a liaison between internal departments of Optima Health and the provider community. Job Requirements High School Grad or Equivalent Healthcare Experience 3 years Health Insurance Plans 3 years Microsoft Word required Microsoft Excel required Microsoft PowerPoint required Benefits: Sentara offers an attractive array of full-time benefits including Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. Sentara recognizes our employees by offering: Comprehensive health care plans Generous paid annual leave 401a/401k/403b plan Long and short-term disability Tuition Reimbursement Flex spending and life insurance You can expect employee recognition, performance rewards, plus countless services and programs to enhance work/life balance. Sentara Health Plan is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier. Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans, and plans serving Medicare and Medicaid enrollees. With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day, join the Sentara Team! Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. keywords: health insurance, network educator, healthcare, health plans Job Summary Responsible for developing and maintaining positive relationships with providers. Duties include, but are not limited to; periodic on-site visits, conducting provider seminars, communicating administrative changes, and facilitating resolution of non-routine claim issues and other billing questions. Coordinates and conducts provider training and develops and distributes provider network materials. Acts as a liaison between internal departments of Optima Health and the provider community. Qualifications: HS - High School Grad or Equivalent (Required) Healthcare, Health Insurance Plans Skills Microsoft Excel, Microsoft PowerPoint, Microsoft Word Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application. In support of our mission “to improve health every day,” this is a tobacco-free environment. Sentara Healthcare is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15 years. Sentara offers professional development and a continued employment philosophy!
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