Provider Relations Advocate

Description:

As a Provider Relations Advocate, you will be expected to coordinate and document provider inquiries and provide prompt and courteous service to requests for assistance for all providers via face-to-face, telephone calls, faxes, and emails. Assist in supporting the network strategies and network initiatives via calls or in-person outreach. The successful individual must be able to communicate and collaborate effectively with others; internal as well as external contacts and resources in order to achieve desired results and resolution of issues.

Responsibilities:

• Resolves provider issues by researching causes and working with various health plans and internal stakeholders.
• Build and maintain Provider Relationships with practices through active outreach
• Assist in designing and implement programs that nurture positive relationship between IPA/Provider/Healthplan
• Identify gaps in network composition and services and help support strategies for network initiatives, including network expansion, recruitment, and contracting supports.
• Leading and reporting on monthly meetings.
• Responds to provider that is seeking assistance.
• Works with providers, health plans, and internal departments.
• Builds collaborative relationships with multiple health plan representatives and providers.
• Staying updated and providing education to providers on various health plan policies.
• Assisting and completing various projects on time.
• Other duties and projects as assigned in line with department and company needs.

Requirements:

Requirements

• Strong communication and interpersonal skills to effectively present information and respond to questions from representatives, providers, and the general public.
• Proven analytical skills
• Excellent multi-tasking, prioritizing, and time management skills.
• Knowledge and experience with Adobe, and Microsoft Office products.
• Bachelor's Degree; or two years related experience and/or training.
• Chinese language is preferred but not required.
• Willing to travel 70% of the time in the field working hands on with providers

Benefits

• Competitive Health Benefits including Medical, Vision, Dental and Life Insurance
• 401k retirement plan with a 6% corporate match
• Paid Time Off
• 13 Paid Holidays
• Hybrid work schedule

Salary Range

$45k-$55k

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