Junior consultant

Florence, SC Full Time
POSTED ON 5/16/2024

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow.

Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As Junior Provider Relation Consultant , you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve a community’s most vulnerable.

Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges.

Here are the details on this position.

Your role in our mission

Supports Region Provider Relation Team with investigating and responding to complex issues reported from the provider community and State partners within response time standards.

Including but not limited to researching, educating, responding, and documenting.

  • Responsible to create and maintain professional relationships within the medical provider community and a ctively promote communication with medical partners in outreach efforts
  • Supports team with development and deliver education materials to providers, Associations, internal and contract management staff in group and individual settings.
  • Provides backend support to Provider Relations team for training venues : one on one, large provider group sessions, virtual meetings via TEAMS or Skype, community workshops and large presentation conferences.
  • Understands the business of the client and related market dynamics; applies knowledge to ensure best practice procedures and continuous process improvement.

Identifies issues and reviews, recommends, and implements modifications to procedures and workflow as necessary to ensure efficient and effective processing of transactions.

What we're looking for

  • Two or more years of experience with business process service delivery and improvement, preferably in an outsourcing environment
  • Experience working with client company industry and / or functional area and e xperience working with business solutions software
  • Proven experience with issue resolution focused on claims research, provider enrollment, requirement compliance and customer service.
  • Ability to perform within defined quality / metrics goals to achieve service level agreements.

What you should expect in this role

  • Strong written and verbal communication skills , computer and business solutions software skills, proficient knowledge of Microsoft Office and organization and time management skills
  • Billing / Credentialing in Providers office, Billing Agency, State Office or Payer’s office with direct contact to plan enrollment, medical billing, claims research and resolution, plan / policy interpretation and education delivery and Instructor level training and presentation delivery
  • Remote position and m ay perform site visits to providers office in accordance to service level agreement.
  • Travel may be required to present and participate at various located Healthcare conferences, townhalls, training venues and team onsite meetings at Boise Office.

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LI-ONSITE

The pay range for this position is $32,700.00 - $46,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development.

All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone.

Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth.

Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

Last updated : 2024-05-16

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