Sentara Health is hiring for a Provider Relations Representative!

Status: Full-Time permanent position

Standard working hours: 8 am to 5 pm EST, M-F

Location: Remote in Virginia; Report to office approx 2x a year

Job responsibilities:

• Provider Relations Representative responsible for developing and maintaining positive relationships with providers. Duties include, but are not limited to; conducting provider seminars, communicating administrative changes, and facilitating resolution of non-routine claim issues and other billing questions.

• Provider Relations Representative acts as a liaison between internal departments of Sentara Health Plans and the provider community

Required qualifications:

• HS - High School Grad or Equivalent

• Minimum 3 years of experience in Health Insurance Plans and Healthcare

Benefits: As the third-largest employer in Virginia, Sentara Healthcare was named by Forbes Magazine as one of America's best large employers.  Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. Please click link for more info:  https://www.sentaracareers.com/explore-sentara/benefits/

Diversity and Inclusion at Sentara

Our vision is that everyone brings the strengths that come with diversity to work with them every day. When we are achieving our vision, we have team members that feel they belong and can be their authentic selves, and our workforce is reflective of the communities we serve.

Please visit the link below to learn more about Sentara’s commitment to diversity and inclusion: https://www.sentara.com/aboutus/diversity

Sentara Overview
Sentara Health, an integrated, not-for-profit health care delivery system, with more than 30,000 employees, celebrates more than 130 years in pursuit of its mission - "we improve health every day."

Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country

Sentara hospital system has 12 hospitals in Virginia and Northeastern North Carolina.

Sentara Medical Group has more than 1,500 quality physicians and advanced practice providers completing more than 2.8 million patient visits each year.

Sentara Health Plans division which serves more than 1.2 million commercial, Medicaid, and Medicare health plan members in Virginia and Florida

Sentara is recognized nationally for clinical quality and safety, and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members.

Sentara was named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018), and was recognized by Forbes as a "Best Employer for New Grads" (2022), "Best Employer for Veterans" (2022), and "Best Employer for Women" (2020).

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 and a vision to be the healthcare choice of the communities that we serve!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-58468

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Talroo – IT

Health plan, Healthcare, Managed Care, MCO, Remote, Virginia, Provider relations, Claims

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• High School Grad or Equivalent

• Health Insurance Plans 3 years
• Healthcare 3 years

• Microsoft Excel
• Microsoft PowerPoint
• Microsoft Word