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. Occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Typically requires 2-4 years of related experience.More Show Less
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Brief Description. Join us in transforming healthcare. About Longevity. At Longevity, we're dedicated to advancing healthcare through innovation, compassion, and excellence. We're looking for passionate individuals to join our team and help us make a difference. The individual holding this position is required to support and demonstrate their commitment to Longevity Health’s purpose: To optimize the quality of life of people in long-term care by ...
Brief Description. Join us in transforming healthcare. About Longevity. At Longevity, we're dedicated to advancing healthcare through innovation, compassion, and excellence. We're looking for passionate individuals to join our team and help us make a difference. The individual holding this position is required to support and demonstrate their commitment to Longevity Health’s purpose: To optimize the quality of life of people in long-term care by ...
PROVIDER REALTIONS REPRESENTATIVEOverviewTo establish and maintain excellent relationships with the provider network in a specific geographic region, including healthcare practitioners, office staff, and administrators. Works closely to identify and resolve complex issues, provides education and staff training. Provides service and education via onsite visits and telephone. Assists providers with understanding managed care of California's policie...
Full time opportunity available. $60,000 - $75,000 a year. Benefits Available for Full Time Employees. . . Generous Paid Time Off Policy. . Medical, Dental, and Vision Insurance. . Flexible Spending Account. . Basic Group Life AD&D Insurance (No Cost). . Voluntary Life Insurance. . Other Voluntary Benefits. . Reimbursement for Professional Development Expenses. . Employee Assistance Program. . Retirement Program (401k). . 8 Paid Holidays. MAIN FU...
Group 1001. is a consumer-centric, technology-driven family of insurance companies on a mission to deliver outstanding value and operational performance by combining financial strength and stability with deep insurance expertise and a can-do culture. Group1001’s culture emphasizes the importance of collaboration, communication, core business focus, risk management, and striving for outcomes. This goal extends to how we hire and onboard our most v...
Remote and must live in San Diego County. 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 of contact between Molin...
Group 1001 is a consumer-centric, technology-driven family of insurance companies on a mission to deliver outstanding value and operational performance by combining financial strength and stability with deep insurance expertise and a can-do culture. Group1001’s culture emphasizes the importance of collaboration, communication, core business focus, risk management, and striving for outcomes. This goal extends to how we hire and onboard our most va...
Umpqua Health is a Coordinated Care Organization (CCO) in Roseburg, Oregon that connects over 40,000 Douglas County OHP members to physical, dental, and behavioral health services and benefits through an integrated network of providers. Umpqua Health is currently seeking a Provider Relations Representative to join our team. Provider Relations Representative. Status. Full Time. Schedule. Monday - Friday 8:00-5:00PM Pacific Standard Time. Salary Ra...
POSITION SUMMARY/RESPONSIBILITIES. Provider Relations Representative works as the primary liaison between Community First Health Plans and network participants (physicians, providers, and administrators) of the health plan provider network. This position will build and nurture positive relationships with health plan network participants by providing the on boarding orientation, and delivering guidance and high-quality service through regular enga...
Premier Medical Associate, one of the leading healthcare providers in central Florida, is looking for qualified and professional Provider Relations Representatives. Primary responsibilities will include the following. Identify and develop relationships with healthcare organizations, providers, and professional associations. Direct and Utilize team to identify and facilitate new referrals Identify and develop opportunities for growth or other enga...
