Network Engagement Representative

Job Description:

Strategically develop and manage highly aligned member focused health insurance networks by partnering with hospital and clinic administrations, Intermountain Medical Group and affiliated practitioners; demonstrating sound business decisions; and developing relationships of trust.

This position is mostly remote, but the candidate needs to be located in the northern half of Utah for any in-person meetings, events, or clinic visits that they will be responsible for.

Essential Functions Establishes and maintains strategic business relationships with providers and administrators with a focus on member needs, specifically access and affordability. Acts as a strategic partner with provider offices and the organization to help build and manage aligned relationships and provides strategic input and network recommendations to Directors and Executive level leadership.

Researches and prepares information related to provider network participation requests and participates in the review process to determine provider eligibility and network status.

Provides education to physician offices regarding such things as industry and market trends, strategic direction and value-based health care and other products. Review reports, Dashboards, Provider Insights and other information relevant to their practices. Uses in-depth understanding of fee schedule methodology, service agreements, and credentialing processes to effectively educate providers and staff.

Carefully documents provider interactions, issues, concerns and other pertinent information in appropriate department systems for review, historical perspective and continuity.

Anticipates and recognizes issues and is proactive in problem resolution. May oversee the problem-solving process.

Works closely with departmental operations, contracting and compliance teams to effectively develop and manage internal relationships and contracting processes. Works with other organizational departments and teams to coordinate strategic programs, initiatives and other member centric programs.

Skills Excellent written and verbal communication skills

Computer literacy

Leadership

Time Management Word Processing General knowledge of spreadsheets

Prioritization Initiative Collaboration Teamwork Professional  Etiquette

Minimum Qualifications Bachelor's degree in Health Care Administration or business related field or two years of health care experience. Degree must be obtained through an accredited institution. Education is verified.

Two years of experience working with health care providers in a professional sales or service position.

Intermediate working knowledge of word processing and spreadsheet programs.

Demonstrated history or working independently and executing organizational goals with minimal oversight.

Preferred Qualifications Ability to think and communicate strategically on various health care related topics.

Demonstrated ability to build effective strategic business relationships.

Demonstrated ability to make sound business decisions and strategic suggestions.

Demonstrated proactive initiative.

Excellent communication and presentation skills.

Demonstrated effective interpersonal and problem resolution skills.

Clinical or health insurance experience.

Demonstrated ability to work well in a team setting. i.e. assisting team in reaching team goals, taking on additional workloads when necessary to support the team and constructively coaching in a positive manner.

Physical Requirements Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.

Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.

Manual dexterity, hearing, speaking, seeing.

For roles requiring driving:
Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

Location:

Select Health - Murray Work City:

Murray Work State:

Utah Scheduled Weekly

Hours:

40

The…