Provider Relations Representative, Sr. jobs in the United States

Provider Relations Representative, Sr. supports, develops, and maintains service relationships with physicians, providers, and administrators of a provider network. Collects feedback from network stakeholders to survey satisfaction and facilitate communication. Being a Provider Relations Representative, Sr. responds to inquiries about referrals, eligibility, credentialing, and other policy matters and escalates or directs complex questions as necessary. Tracks and documents inquiries to ensure issues are resolved in a timely manner and creates routine reports to identify trends for management. Additionally, Provider Relations Representative, Sr. trains healthcare providers and physicians on network operating policies and procedures to ensure optimal network service standards. May provide guidance or expertise to less experienced representatives. Requires a bachelor's degree. Typically reports to a manager. The Provider Relations Representative, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Provider Relations Representative, Sr. typically requires 2-4 years of related experience. (Copyright 2024 Salary.com)

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Provider Relations Representative
  • WelbeHealth
  • La Quinta, 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.

    This position supports our Coachella market. It is a hybrid role that will require a local candidate who is able to spend 3 days per week out in the field meeting with providers, and 2 days remote.

    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 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
    • 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- $98,488.84 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.

    Compensation

    $82,074.03—$87,000 USD

    COVID-19 Vaccination Policy

    At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.

    Our Commitment to Diversity, Equity and Inclusion

    At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

    Beware of Scams

    Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@welbehealth.com
  • 22 Days Ago

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Provider Relations Representative
  • American Health Plans
  • Milledgeville, GA FULL_TIME
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facil...
  • 2 Days Ago

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Provider Relations Representative
  • UHA Health Insurance
  • Honolulu, HI CONTRACTOR
  • JOIN UHA’S TEAM We focus on your health and pay 100% for your family's medical insurance and provide 20 days of paid personal time off during your first year Provider Relations Representative Departme...
  • 3 Days Ago

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THSteps Provider Relations Representative
  • Texas Department of Aging & Disability Services
  • SAN ANGELO, TX FULL_TIME
  • This job offer is not available in your country. Job Description : Under the direct supervision of Program Supervisor and overall direction of the Program Manager, performs moderately complex (journey...
  • 7 Days Ago

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Provider Relations Representative
  • tango
  • Phoenix, AZ FULL_TIME
  • We are in search of a detailed oriented self-starter to join our Provider Relations Team. The Provider Relations Representative will serve an important role overseeing our network of home health provi...
  • 8 Days Ago

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Provider Relations Representative
  • Nuvia Dental Implant Centers
  • Salt Lake, UT FULL_TIME
  • Nuvia Dental Implant Center, a growing dental implant center, is looking for an outgoing Provider Relations Representative to join our team. The Function of the Provider Relations Representative is to...
  • 12 Days Ago

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Customer Service Representative
  • Russell Tobin
  • Columbus, OH
  • This is an exciting opportunity to join our dynamic team in Columbus, OH, for a six-month duration. If you meet the qual...
  • 7/26/2024 12:00:00 AM

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14702-Customer Support/Account Rep - Sr-OH
  • Russell Tobin
  • Columbus, OH
  • Job Description Job Description Position Title: Customer Support Representative/Account Representative-Sr Location: Colu...
  • 7/26/2024 12:00:00 AM

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Inbound Call Customer Service Representative
  • Russell Tobin
  • Columbus, OH
  • Job Description Job Description Position – Customer Service Representative. Location – Columbus, OH Duration – 6 Months ...
  • 7/26/2024 12:00:00 AM

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Administrative Client Representative
  • Dawson
  • Columbus, OH
  • Job Description Job Description Administrative Customer Service Representative Position available 5/10/24 First to menti...
  • 7/25/2024 12:00:00 AM

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Customer Service Representative
  • Dawson
  • Columbus, OH
  • Job Description Job Description Administrative Customer Service Representative First to mention that this is not call ce...
  • 7/25/2024 12:00:00 AM

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Customer Service and Sales Representative [Wireless]
  • 524 INC
  • Hilliard, OH
  • Job Description Job Description 524 Inc. is currently setting up interviews for the following position. DOING BUSINESS W...
  • 7/25/2024 12:00:00 AM

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Customer Service Representative
  • Russell Tobin
  • Columbus, OH
  • Job Description Job Description Position Title: Customer Support Representative/Account Representative-Sr Location:4343 ...
  • 7/23/2024 12:00:00 AM

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Customer Service Representative
  • Russell Tobin
  • Columbus, OH
  • Job Description Job Description Position Title: Customer Support Representative/Account Representative-Sr Location:4343 ...
  • 7/22/2024 12:00:00 AM

Income Estimation for Provider Relations Representative, Sr. jobs
$73,265 to $91,396