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Provider Relations Representative Jobs

1000+ jobs

The Provider Relations Representative is responsible for maintaining and enhancing relationships with physicians and office staff within the CHA network. Manages physician network by developing and maintain a specific geographic area. Responsible for communications regarding all plan affairs, including patient care related matters. Will identify opportunities and challenges related to the manageme...

POSITION PURPOSE To recruit, retain, and provide customer service to PHC contracted provider network, including but not limited to Physicians and ancillary Providers. ESSENTIAL DUTIES AND RESPONSIBILITIES - Recruits new physician and ancillary providers, conducts office orientations. - Trains office and provider staff on managed care concepts, PHC policies and procedures. - Investigates and r...

The Senior Provider Relations Relations Representative will provide education, training, guidance, and other duties as assigned for providers in the assigned IPA's, LPO's and/or networks. Responsibilities: • Develop strong interpersonal relationships with providers. Strengthen and enhance the role of the provider relations representative with providers. • Develop and maintain effective working rel...

Description: Position Description:Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Provider Relations Representative is responsible for assisting in t...

Overview: Under the general supervision from the Director, Provider Relations, the Provider Relations Representative II performs a variety of routine and semi-routine tasks requiring a thorough knowledge of organizational policies and procedures. This position will provide administrative and operational support for the Provider Services Department. Responsibilities: PRINCIPAL RESPONSIBILITIES I...

This position is responsible for liaison and communication with Covenant Hospice referring sources, both individual practitioners and facilities. They will utilize a variety of resources to promote referrals to Covenant Hospice. Their goal is to ensure that all persons with a need for hospice choose Covenant. The individual is responsible for developing referral relationships. This will involve c...

The Provider Relations Representative serves as Beacon’s representative to the provider community in the assigned markets/ regions. Provider Relations Representatives directly support our behavioral health provider network. Support functions include operational issue resolution, training, network access monitoring and provider event planning and participation. Representatives work with clinical an...

The Provider Relations Representative serves as Beacon’s representative to the provider community in the assigned markets/ regions. Provider Relations Representatives directly support our behavioral health provider network. Support functions include operational issue resolution, training, network access monitoring and provider event planning and participation. Representatives work with clinical an...

Provider Relations Recruitment and Retention Representative - Amarillo/Lubbock-00303391 Description **** This position is based in theAmarillo/LubbockArea**** Join Accenture and help transform leading organizations and communities around the world. The sheer scale of our capabilities and client engagements and the way we collaborate, operate and deliver value provides an unparalleled opportunit...

Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, inclu...

Description This position offers an opportunity to acquire comprehensive knowledge of the Connecticut Medical Assistance Program as well as in-depth mastery of the related online screens and windows required for provider research. The skills, knowledge and independent problem solving capabilities acquired are valuable to the candidate interested in future career growth within the account as well ...

Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of healthcare companies, we provide health benefits to people covered by Medicare and/or Medicaid. We are dedicated to working collaboratively with healthcare professionals in order to improve the health and well-being of those we serve and reduce healthcare costs. Well-capitali...

Description In the performance of their respective tasks and duties all employees are expected to adhere to all IASIS and Health Choice policies and procedures, URAC standards, department specific rules, annual educational requirements, IASIS Standards of Conduct, state level contract requirements, and all other federal and state laws. • Read, abide by, and demonstrate an understanding of all po...

Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of healthcare companies, we provide health benefits to people covered by Medicare and/or Medicaid. We are dedicated to working collaboratively with healthcare professionals in order to improve the health and well-being of those we serve and reduce healthcare costs. Well-capitali...

**** This position is based in the Amarillo/Lubbock Area**** Join Accenture and help transform leading organizations and communities around the world. The sheer scale of our capabilities and client engagements and the way we collaborate, operate and deliver value provides an unparalleled opportunity to grow and advance. Choose Accenture, and make delivering innovative work part of your extraordin...

The Provider Relations Representative serves as Beacon’s representative to the provider community in the assigned markets/ regions. Provider Relations Representatives directly support our behavioral health provider network. Support functions include operational issue resolution, training, network access monitoring and provider event planning and participation. Representatives work with clinical an...

Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of healthcare companies, we provide health benefits to people covered by Medicare and/or Medicaid. We are dedicated to working collaboratively with healthcare professionals in order to improve the health and well-being of those we serve and reduce healthcare costs. Well-capitali...

Description Job Description: HP's Provider Services Field Representatives are the face of Medicaid to the provider community. In this role, you will train providers on Vermont Medicaid policy and billing procedures, answer questions and represent provider interests to various state agencies and programs. This position requires a candidate that likes to build long-term relationships, is highly re...

Qualifications Professional Competencies (knowledge, skills, and abilities): • Microsoft Windows applications • Knowledge of Medicaid and Medicare programs preferred • Knowledge of Commercial health plan programs desirable • Ability to plan and organize • Strong customer service skills and techniques • Strong presentation and oral and written communication skills • Ability to negotiate and...

Provider Relations Representative - Behavioral Health New York, NY-1500716 About WellCare: WellCare Health Plans, Inc. is a Fortune 500 company traded on the New York Stock Exchange (symbol: WCG). It provides managed care services targeted to government-sponsored health care programs, including Medicaid, Medicare, Prescription Drug Plans and the Health Insurance Marketplace. Headquartered in Tamp...