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Immediate need for a talented Provider Engagement Admin II. This is a 03+ Months contract opportunity with long-term potential and is located in United States(Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID: 23-45527
Pay Range: $30 - $38/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Shift (Start/End Time): 8:00 AM to 5:00 PM CST, Monday to Friday
Key Responsibilities:
- Provider Engagement improvement leads to increased provider satisfaction and access, as well as an improved member experience. All the above have a material impact on Quality scores, Growth and Margin improvement.
- Weekly provider visits face to face virtually or in person, proactive preparation for visits and documentation, follow up email after visit to set expectation with the provider. Act as the Liaison for the provider with the shared services teams to reach resolution and improved performance of risk and quality measures.
- Provider education to improve understanding of processes and resources available.
- After orientation and on boarding a team mentor is assigned and a week of shadowing to experience the daily tasking.
- Work in network performance, provider relations, clinical office management, claims, coding/billing experience, and understanding or risk management and HEDIS measures a plus.
Key Requirements and Technology Experience:
- CMS guidelines for billing, Excel expert.
- Excellent written and verbal communication.
- Education Requirement: Bachelor’s degree in healthcare, Public Health, Nursing, psychology, Social Work, Health Administration, or related health field or equivalent work experience
- Required Certifications: Bachelor or experience equal to
- Project Management/Lead
- Active listening skills
- Motivational interviewing concept understanding
Our client is a leadingHealthcareorganization and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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