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 and have been recognized as a Top Workplace since 2013.

Responsibilities

• Relationship oversight of all current and potential networks
• Serve 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
• Detail 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

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