Register Here to Apply for Jobs or Post Jobs. X

Provider Relations Specialist

Job in Sacramento - Sacramento County - CA California - USA
Full Time position
Listed on 2019-08-27
Job specializations:
  • Healthcare
    Provider Enrollment, Home Care Provider
  • Marketing/PR
    Marketing Strategy
Job Description & How to Apply Below
Job Summary:

The Provider Relations Specialist will work for our Accountable Care Organization as the main point of contact for our providers and provider network. As a provider relations specialist, you will need to investigate and resolve provider issues whilst helping to expand knowledge of our services. You are also responsible for answering questions from health care providers about service contracts, in-network services available and billing.

Responsibilities:

Educates providers on protocols, policies, procedures, portals and services to improve overall provider experience
Maintain a positive, professional, and amenable relationship with the provider network
Escalates issues as appropriate
Perform duties as a liaison between providers, Corporate and the ACO Organization
Serve as a primary contact for providers serving as a liaison between the provider and the health plan
Receive and respond to external provider related issues
Resolve, investigate and communicate provider claim issues and changes
Initiate entry or change of provider related database information
Author change requests and oversee through testing and completion
Conduct regular meetings and check ins with providers documenting discussions, issues, attendees, and action items researching claims issues on-site and routing to the appropriate party for resolution
Position Requirements
Bachelor,   3 to 4 Years work experience
Qualifications:

Bachelor’s degree in Healthcare related field preferred
Strong verbal and written communication and interpersonal skills
Located or willing to relocate to Sacramento, CA
3+ years of marketing, provider relations or contracting experience
Knowledge of health care, managed care, Medicaid or Medicare
Experience with Customer Relationship Management tools
Previous experience with an Accountable Care Organization is highly preferred
Required Language Skills:
  • English - Very good
Questions to answer on applying for this job
  • Years of Marketing, Provider Relations or Contracting Experience:
  • Years of experience with an Account Care Organization:
  • Are you located in Sacramento, CA?
  • Are you authorized to work in United States?
Contact Information
Contact Name: Achiever ACO (Look for LYN)
Contact Phone: 916-518-9433 ext 555
Preferred method of contact: Email with CV via Application Box below.
Apply for this Job Posting Here:
To apply for this job, you need to provide some contact details for the employer or HR recruiter. Begin your free application by entering your email address (If already registered, you'll be asked to enter your password). Otherwise, you will initially need to enter some basic details with your first application.
Email Address Please enter a valid Email address.
How this Free Jobsite works - How to apply for jobs.
• To apply for any job, you must provide some contact details for the employer or HR recruiter. When you Register Here or Above with your first application (if you have not already done so), you will be asked to confirm your contact email address is valid via your email inbox.
• You will be asked to confirm a login password so to be able to make further applications in future visits.
• Once registered, you may also save CV / Resume summary details into the optional Resume format (This default format is easy for companies to read, and when available, it is sent as part of your application to a company to assist your application).
• Alternatively or additionally, you may attach your own original Resume document and 2 other supporting files as part of your application (Those files must be within the maximum combined size stated, and are not stored on this jobsite when you submit them).
• You must write or paste an introduction / cover letter into the application box.
• When you click the "Apply" button, your cover letter, Resume summary (if you have saved one on this site), contact details, and/or your own attached files are submitted as part of your application.
• Once you submit an application for any job on this site, it is solely the responsibility and decision of the company or employer you have applied to on whether they accept, review, process or respond to that application.
Search for further Jobs Here:
(Enter less keywords for more results. Suggestions may be selected)
Location
Employment Category
Education (minimum level)
Filters
Education Level
Experience Level (years)
Posted in last:
LOGIN Area - Jobsite