Provider Relations Representative

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Responsible for managing all aspects of the business relationship with the provider/customer. Ensures that all appropriate resources are available and utilized effectively/efficiently to maximize provider satisfaction and downstream member satisfaction. Assists other departments such as Revenue Management, Quality Improvement, and Contracting in activities such as, but not limited to, collecting member records for audit and conducting Social Adult Day Care site visits. Provide the same level of timely and accurate service to internal customers that rely on the work performed by Provider Relations.

• High School Diploma or equivalent combined with 6+ years of experience in Managed Care, Practice Management or large group practice, OR, Bachelor's Degree in related field.
• With Bachelor's Degree; minimum two years of experience
• Knowledge of Microsoft Office
• Must have car and valid driver's license
• Strong communication and present skills, both written and oral, as well as public speaking skills
• Ability to multi-task in a fast-paced environment with minimal supervision