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Provider Relations Representative Jobs

128 jobs

Job Summary: The position of the Provider Relations Representative is to oversee the compliance of our contracted providers, recognize, pursue and grow new business from existing providers. The main duties include but are not limited to managing assigned physicians by developing, strengthening and maintaining working relationships. Our goals include driving business results, proactively resolvin...
Description: Position Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) Primary Responsibilities: All Customer Service issues regardin...
Sr. Provider Relations Representatives are responsible for establishing and maintaining strong business relationships with provider types, ensuring each of their territory compositions include an appropriate distribution of provider specialties and provide in depth, high level educational instruction and support to physicians and their staff. This is an account management position and will be the ...
Job Description Job Title:Provider Relations Representative - Healthcare Department:Provider relations FLSA Status:Full time Preferred IPA is one of the leading independent physician associations in Los AngelesCounty with a network of nearly 1000 primary and specialty care providers. We are seeking a Provider relations representative who will be responsible for successfully expanding Preferred...
General Overview: The Provider Relations Representative is the primary liaison between the provider network and the Corporation. Maintain a quality network of providers who supply medical and dental care, goods and services to members. Responsible for recruitment, personal visits, orientation and interactive training. Apply an active role in network management, training, monitoring and enforcemen...
This position will serve the following territory: North/Eastern Pennsylvania inculding the following counties: Bradford, Lackawanna, Lycoming, Mifflin, Northampton, Northumberland, Schuylkill, Snyder, Sullivan, Union, Wayne, Wyoming, Carbon, Columbia, Luzerne, Monroe, Montour, Pike and Susquehanna Up to 80% travel General Overview: The Provider Relations Representative is the primary liaison be...
*This position will be responsible for the Lancaster County and Lebanon County* *80% Travel* General Overview: The Provider Relations Representative is the primary liaison between the provider network and the Corporation. Maintain a quality network of providers who supply medical and dental care, goods and services to members. Responsible for recruitment, personal visits, orientation and intera...
*This position is responsible for Western PA Territory and is a work from home position in PA* *90% Travel required* General Overview: The Provider Relations Representative is the primary liaison between the provider network and the Corporation. Maintain a quality network of providers who supply medical and dental care, goods and services to members. Responsible for recruitment, personal visits...
Summary: Working under the general supervision of the Provider Relations Manager, this position interacts regularly with physicians, hospitals, clinics, and other health professionals to develop MCMC’s various provider networks in order to meet operational needs. Network services include, but are not limited to, Peer Review, Independent Medical Examinations, and Ancillary. Responsibilities: Rese...
POSITION SUMMARY Provider Relations Representatives are responsible for provider education and training in the geographic region assigned to them. They will spend significant time in the field with the providers at meetings and in their office. Fundamental Components: The ideal candidate for this position will live in the vicinity of the eastern panhandle of West Virginia. They will spend 50% o...
This role should act as the primary on site point person for providers to improve their understanding of our benefit programs, policies and procedures. Responsible for provider networks with regard to office education, technology promotion, network recruitment (expansion and strengthening utilization), and general on boarding of newly contracted providers. Administer on-site office reviews as requ...
Job Description: Provider Relations Representative Summary: Evaluates assigned territories and negotiates contracts with physicians, specialists, ancillary providers and hospitals. Essential Duties and Responsibilities: Targets potential providers to establish contractual agreements. Recruits and contracts physicians, specialists, ancillary providers and hospitals with inclusion of all necessary ...
Summary: Act as a liaison between providers and their support staff and payers on various issues related to administration of payer contracts, including education and training, issue resolution, and other activities. Responsible for building strong interpersonal working relationships with the payers and support staff of providers and able to utilize problem solving skills to resolve issues in add...
Req ID: 34789BR POSITION SUMMARYResponsible for maintaining working relationships with the existing provider network. Assists providers with policy and procedure interpretation. Maintains accurate and current databases related to provider facilities and physician information. May assist with physician recruitment.Fundamental Components:Conducts site visits to service providers, resolves issues, e...
POSITION SUMMARY Responsible for maintaining working relationships with the existing provider network. Assists providers with policy and procedure interpretation. Maintains accurate and current databases related to provider facilities and physician information. May assist with physician recruitment. Fundamental Components: Conducts site visits to service providers, resolves issues, educates sta...
Positive Healthcare, AIDS Healthcare Foundation's Managed Care Division, has provided people living with HIV quality health care since 1995 when it started the nation’s first Medicaid health plan for HIV-positive people living in Los Angeles. Today, Positive Healthcare cares for more than 7,000 lives in California and Florida. PHP (HMO SNP) PHP is a Medicare Advantage Prescription Drug health pl...
IN AN EFFORT TO PROVIDE A MORE HEALTHY, SAFE AND SATISFYING ENVIRONMENT TO OUR EMPLOYEES, INDIVIDUALS TO WHOM JOB OFFERS ARE EXTENDED MAY UNDERGO NICOTINE TESTING AS A PART OF THE PRE-EMPLOYMENT PROCESS. Position is responsible for serving as a liaison between the health plan and providers establishing and maintaining positive and strong working relationships through education, service and suppor...
IN AN EFFORT TO PROVIDE A MORE HEALTHY, SAFE AND SATISFYING ENVIRONMENT TO OUR EMPLOYEES, INDIVIDUALS TO WHOM JOB OFFERS ARE EXTENDED MAY UNDERGO NICOTINE TESTING AS A PART OF THE PRE-EMPLOYMENT PROCESS. The Provider Relations representative provides local support to the ACO and PHO networks through continuous interaction with potential and participating physicians and leadership and support staf...
Bachelor's Degree in a related field or a minimum of two (2) years of experience as a provider services representative or credentialing coordinator in a managed care environment. Advanced skills in Microsoft Office is required Ability to work independently with attention to quality and deadlines is a must. Corporate _cc_ a0dec1ae _cn_ Tenet Healthcare Corporation _rfc_ fcc5c624ae17ab4c74b4b5d291a...
General Description Under the supervision of the Director of Florida Health Network, the Provider Relations Representative supports the increased recruitment and education of Florida Health Network (FHN) providers. Responsibilities Manage On-Boarding process of all new providers Coordinate and facilitate training with FHN Provider/Office Staff and Health Plan Partners, TPA, and Business Associ...