Provider Relations Representative jobs in Riverside, CA

Provider Relations Representative supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. Typically requires a bachelor's degree. Being a Provider Relations Representative typically reports to a supervisor or manager. The Provider Relations Representative works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Provider Relations Representative typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Provider Relations Representative
  • WelbeHealth
  • Riverside, CA FULL_TIME
  • WelbeHealth is a value-based healthcare organization that’s transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population. We step in as the care provider and care planner that work to keep our participants within their communities, out of institutions, and cared for like family, all while receiving the healthcare and social services needed to thrive.

    As we continue to serve our current markets and expand into new territories to best serve our participants, our Provider Partnership team leads the charge by building meaningful relationships with our provider network partners, while ensuring excellent clinical care to those we serve.

    We are very excited to welcome a Provider Relations Representative to our team in the brand-new Riverside market. This will be a hybrid position where you will be out in the field within the Riverside region 3 days per week, and working remotely the remaining two days per week. 

    Essential Job Duties:

    · Initiate and maintain effective channels of communication with our high-quality network of aligned providers through ownership of implementation and provider relations functions

    · Establish and maintain relationships with our high-quality network of aligned providers through office visits, virtual visits (e.g., Teams), telephone calls, prompt resolution of issues, and excellent customer service

    · Proactively and collaboratively assess how to further serve our provider network partners and measure provider satisfaction

    · Guide partners from initial provider training/onboarding of plan policies, procedures, and available technology (e.g., Provider Portal), through ongoing engagement and relationship optimization

    Job Requirements:

    · Minimum of one (1) year of experience in provider network development and/or provider network management capacity, account management, or provider relations experience in a managed care organization, required. 

    · Bachelor’s degree preferred; may substitute additional years of experience in lieu of education

    · Demonstrated aptitude of going above and beyond in providing service to our network partners

    · Previous field-based experience with the willingness to travel onsite to assigned region on a regular basis to build trust-based relationships with a diverse group of stakeholders

     

    Benefits of Working at WelbeHealth: Apply your expertise in meaningful ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.

    · Medical insurance coverage (Medical, Dental, Vision)

    · Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time

    · Advancement opportunities - We’ve got a track record of hiring and promoting from within, meaning you can create your own path!

    · And additional benefits

    Salary/Wage base range for this role is $82,074.03 - $87,000.00 annually Bonus Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits.  Actual pay will be adjusted based on experience and other qualifications.

  • 9 Days Ago

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Provider Relations Representative
  • WelbeHealth
  • Riverside, CA FULL_TIME
  • WelbeHealth is a value-based healthcare organization that’s transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population. We step in as the...
  • 9 Days Ago

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DIRECTOR OF PROVIDER RELATIONS
  • Universal Health Services, Inc.
  • Corona, CA FULL_TIME
  • Responsibilities Join the Corona Regional Medical Center Team! About Us:The tradition of caring that culminated in the establishment of Corona Regional Medical Center began in 1965, with the founding ...
  • 20 Days Ago

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Director of Network Development and Provider Relations
  • Prime Healthcare Services
  • Ontario, CA FULL_TIME
  • Director of Network Development and Provider Relations Facility Prime Healthcare Management Inc Location US-CA-Ontario ID 2024-153822 Category Director Position Type Full Time Shift Days Job Type Exem...
  • 1 Month Ago

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Director of Network Development and Provider Relations
  • Prime Healthcare Management Inc
  • Ontario, CA FULL_TIME
  • Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providi...
  • 2 Months Ago

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Insurance Customer Relations Representative
  • Blanca Haro Farmers Insurance
  • Montclair, CA FULL_TIME
  • Job DescriptionOur fast paced, growing insurance office is looking to fill an entry level sales position. This position is full time, scheduling appointments or calling our contacts for new clients ne...
  • 1 Day Ago

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0 Provider Relations Representative jobs found in Riverside, CA area

Riverside is a city in Riverside County, California, United States, located in the Inland Empire metropolitan area. Riverside is the county seat of the eponymous county and named for its location beside the Santa Ana River. It is the most populous city in the Inland Empire and in Riverside County, and is located about 55 miles (89 km) east of downtown Los Angeles. It is also part of the Greater Los Angeles area. Riverside is the 59th most populous city in the United States and 12th most populous city in California. As of the 2010 Census, Riverside had a population of 303,871. Riverside was fou...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$56,934 to $72,838
Riverside, California area prices
were up 3.0% from a year ago