Hiring for Provider Relations Consultant in Boston, MA 02109 - Remote

Job Title: Provider Relations Consultant

Duration: Full Time/Permanent

Salary: $75,000/Annum - $85,000/Annum

Responsibilities:

• Develops and enhances our physician, clinician, community health center and hospital relationships through effective business interactions and outreach
• Works collaboratively with Provider Relations Consultants and Supervisor to develop and update provider orientation programs
• Coaches and assists in the training of Provider Relations Consultants and Provider Relations Specialists
• Organizes, prepares and conducts orientations of network providers (administrative and clinical) and their staff
• Takes the lead on specific Plan initiatives as they relate to provider education
• Provides general instruction and support on BMCHP products and policies to providers and coordinates office and provider site clinical and administrative meetings
• Meets with assigned providers regularly according to pre-set site visit servicing standards
• Acts as liaison for all reimbursement, credentialing, claims, EDI web site procedures and issues of key providers
• Facilitates resolution of complex contractual and member/provider issues, collaborating with internal departments as necessary

Qualifications:

• BA/BS required or related field, or an equivalent combination of education, training and experience
• 4 or more year's progressively responsible experience in Provider Relations or network management required
• Experience in the Medicare provider healthcare insurance industry preferred