Provider Relations Representative

About the role

Key Benefit Administrators is a privately owned full-service group benefit administration firm founded in 1979. We specialize in self-funded medical plans and are now one of the country's largest independently owned third party administrators. We are committed to improving health and stabilizing insurance costs for local communities.

Responsibilities

• Relationship oversight of all current and potential networks.
• Serves as a liaison between network relationships and network partners, Sales, Direct to Employer team and other operational teams within Key Family.
• Provide superior, professional, ongoing, consistent communication and service with designated networks and clients, to maintain a positive, long-term relationship.
• Maintain market intelligence on competitive landscape.
• Detailed review, negotiation, editing and sign-off, in coordination with legal and VP, of all new and renewing network contracts.
• Establishment and coordination of directly contracted hospital and/or provider systems within designated communities, creating formal direct to employer opportunities and/or informal partnerships.
• Oversee elevated network issues to resolution escalating to VP as necessary.
• Be available for occasional network/client related travel as needed.
• Perform additional related duties as assigned.

Requirements

• 3+ years of network related experience in a healthcare or Third-Party Administrator (TPA) setting preferred.
• Proven abilities in written and verbal communication, as well as presentation skills.
• Highly proficient in Microsoft Office products, such as Microsoft Excel and Microsoft Word.
• Ability to multi-task and work under deadlines.
• Strong organizational, problem solving and analytical skills.
• Highly experienced in relationship management with networks, clients and/or brokers.
• Ability to work proficiently, independently, and timely in a fast-paced environment and be adaptable in a dynamic work environment.
• People and team oriented.
• Knowledge of conducting remote meetings using Zoom is a plus.
• Detailed understanding of operational areas of health insurance is a plus.

Benefits

This position includes a comprehensive benefit package and competitive salary!