Provider Relations Representative, Sr. jobs in Connecticut

Provider Relations Representative, Sr. 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. May provide guidance or expertise to less experienced representatives. Being a Provider Relations Representative, Sr. typically requires a bachelor's degree. Typically reports to a supervisor or manager. The Provider Relations Representative, Sr. gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Relations Representative, Sr. typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Care Consultant Sr (Provider Success)
  • Elevance Health
  • CT, CT FULL_TIME
  • Description

    Care Consultant Sr. (Provider Success) - JR110850

    Location : Must reside in Connecticut , within 50 miles (1 hour commute) of our Wallingford, CT office AND be willing to visit providers throughout the state of Connecticut (in person and virtually 25% - 30% of the time.)

    NOTE : As part of our Hybrid Workplace Strategy, this role requires working in our Wallingford office 1 day per week.


    The Care Consultant Sr is responsible for consulting with providers to assess and deploy appropriate interventions to drive success in value-based care. Primary duties may include, but are not limited to:

    • Conducts comprehensive provider practice assessments to establish baseline value-based capabilities of each assigned provider to identify key opportunity areas and provider needs.

    • Consultant support model consists of a continuous process of assessment, root cause analysis, strategy mapping, implementation and tracking to outcomes for each assigned provider.

    • Supports practice implementation of action plans around population health management, patient satisfaction and quality and cost performance.

    • Facilitation of collaborative meetings with staff at all levels in the provider organization as well as multiple internal stakeholders.

    • Creates and hosts tailored learning opportunities to support the deployment of interventions.

    • Training providers on the use of Elevance tools, data, and technology to drive performance in key metrics.

    • Use of internal tools and technology to aid in strategy for value-based providers.

    • Collaboration with peers across team to share best practices and participate in culture activities.

    • Data analytics and ongoing tracking of key performance metrics for each assigned provider

    • Documentation of all action plans, interventions, and provider activities in Salesforce.

    Minimum Requirements:

    • BA/BS and minimum of 5 years health care experience; or any combination of education and experience, which would provide an equivalent background.

    Preferred Qualifications:

    • Proficiency using PowerPoint and Excel.

    • Proficient in developing strategic and financial presentations for internal and external stakeholders.

    • Physician environment experience in practice transformation/quality improvement, ambulatory care setting quality and efficiency metrics, population health and care management structures, data analytics and electronic health records preferred.

    • Consulting background preferred.

    • MBA preferred.

    • Expert at meeting facilitation, getting to yes and tracking to defined outcomes.


     

    Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

    Who We Are

    Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

    How We Work

    At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

    Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

    The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

    Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance.

  • 10 Days Ago

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Guest Relations Representative
  • St. Vincent's Medical Center
  • Bridgeport, CT FULL_TIME
  • Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Mon - Fri 7:30am - 4:30pm Work where every moment matters. Every day, almost 30,000 Hartford HealthCare colleag...
  • 30 Days Ago

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Sr. Land Representative
  • TRC Companies, Inc.
  • Bridgeport, CT FULL_TIME
  • About Us Groundbreaker. Game changer. Pioneer. TRC has long set the bar for clients who require more than just engineering, combining science with the latest technology to devise innovative solutions ...
  • 21 Days Ago

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Sr Customer Success Representative
  • honeywell2-pilot
  • Northford, CT FULL_TIME
  • We don’t just sell things. We offer solutions to tomorrow’s challenges. Our sales approach begins by identifying customer demands before they become challenges. We’re committed to delivering customer ...
  • 8 Days Ago

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Sr Customer Success Representative
  • honeywell2-pilot
  • Northford, CT FULL_TIME
  • We don’t just sell things. We offer solutions to tomorrow’s challenges. Our sales approach begins by identifying customer demands before they become challenges. We’re committed to delivering customer ...
  • 8 Days Ago

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Offline - Sr Brand Ambassador (Sr Sales Associate) - US
  • Sr Brand Ambassador (Sr Sales Associate) - US - American Eagle Outfitters Careers
  • United States, CT FULL_TIME
  • BE PART OF SOMETHING REAL YOUR ROLE As a part-time Sr Brand Ambassador, you bring our brand to life every day! Your goal is to provide everyone who comes in the store with an amazing shopping experien...
  • 28 Days Ago

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Guest Relations Representative
  • Great Escape
  • Queensbury, NY
  • What You Will Be Doing Assist Guests with the purchase of in park Admission and Group Sales Tickets as well as On-line T...
  • 4/26/2024 12:00:00 AM

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Donor Relations Representative
  • Christus Health
  • Irving, TX
  • Description Summary: Responsible for gift processing and donor relations including: responding to all donor inquiries, r...
  • 4/26/2024 12:00:00 AM

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Patient Relations Representative
  • Gastro Health
  • Reston, VA
  • Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro Health is a great place t...
  • 4/25/2024 12:00:00 AM

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Customer Relations Representative
  • Cashdollar Insurance Agency Inc
  • North Versailles, PA
  • Job Description Job Description Are you outgoing and customer-focused? Do you enjoy working with the public? If you answ...
  • 4/25/2024 12:00:00 AM

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Customer Relations Representative
  • Arete Connections
  • Lexington, KY
  • Job Description Job Description Are you a dedicated, self-driven individual with a passion for providing outstanding cus...
  • 4/24/2024 12:00:00 AM

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Guest Relations Representative
  • Six Flags Great Adventure
  • Jackson, NJ
  • Assist Guests with questions, comments, concerns they may have about their experience while visiting Six Flags. Resolve ...
  • 4/23/2024 12:00:00 AM

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Community Relations Representative
  • AmeriHealth Caritas
  • Hazleton, PA
  • Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are pa...
  • 4/23/2024 12:00:00 AM

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Patient Relations Representative
  • Gastro Health
  • Catonsville, MD
  • Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro Health is a great place t...
  • 4/23/2024 12:00:00 AM

Connecticut is bordered on the south by Long Island Sound, on the west by New York, on the north by Massachusetts, and on the east by Rhode Island. The state capital and fourth largest city is Hartford, and other major cities and towns (by population) include Bridgeport, New Haven, Stamford, Waterbury, Norwalk, Danbury, New Britain, Greenwich, and Bristol. Connecticut is slightly larger than the country of Montenegro. There are 169 incorporated towns in Connecticut.The highest peak in Connecticut is Bear Mountain in Salisbury in the northwest corner of the state. The highest point is just east...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$76,815 to $95,261

Provider Relations Representative, Sr. in Duluth, MN
Held meetings with providers to review new policies, products and issue resolution.
January 14, 2020
Provider Relations Representative, Sr. in Norwich, CT
The continued upward spiral in health care costs has challenged sponsors, providers and payers of health benefits to deliver high quality care in the most cost-effective manner possible.
January 21, 2020
Provider Relations Representative, Sr. in Poughkeepsie, NY
The specific duties of customer service representatives vary by industry.
December 25, 2019