Network Engagement Representative

About the role

Strategically develop and manage highly aligned member focused health insurance networks by partnering with hospital and clinic administrations, Intermountain Medical Group and affiliated practitioners; demonstrating sound business decisions; and developing relationships of trust.

Responsibilities

• Establishes and maintains strategic business relationships with providers and administrators with a focus on member needs, specifically access and affordability.
• Acts as a strategic partner with provider offices and the organization to help build and manage aligned relationships and provides strategic input and network recommendations to Directors and Executive level leadership.
• Researches and prepares information related to provider network participation requests and participates in the review process to determine provider eligibility and network status.
• Provides education to physician offices regarding such things as industry and market trends, strategic direction and value-based health care and other products.
• Reviews reports, Dashboards, Provider Insights and other information relevant to their practices.
• Uses in-depth understanding of fee schedule methodology, service agreements, and credentialing processes to effectively educate providers and staff.
• Carefully documents provider interactions, issues, concerns and other pertinent information in appropriate department systems for review, historical perspective and continuity.
• Anticipates and recognizes issues and is proactive in problem resolution. May oversee the problem-solving process.
• Works closely with departmental operations, contracting and compliance teams to effectively develop and manage internal relationships and contracting processes.
• Works with other organizational departments and teams to coordinate strategic programs, initiatives and other member centric programs.

Requirements

• Bachelor's degree in Health Care Administration or business related field or two years of health care experience.
• Degree must be obtained through an accredited institution.
• Two years of experience working with health care providers in a professional sales or service position.
• Intermediate working knowledge of word processing and spreadsheet programs.
• Demonstrated history or working independently and executing organizational goals with minimal oversight.

Qualifications

• Excellent written and verbal communication skills
• Computer literacy
• Leadership
• Time Management
• Word Processing
• General knowledge of spreadsheets
• Prioritization
• Initiative
• Collaboration
• Teamwork
• Professional Etiquette

Skills

• Excellent written and verbal communication skills
• Computer literacy
• Leadership
• Time Management
• Word Processing
• General knowledge of spreadsheets
• Prioritization
• Initiative
• Collaboration
• Teamwork
• Professional Etiquette

Benefits

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn More About Our Comprehensive Benefits Package Here.