Representative, Provider Relations

About the role

Provides education and training support for network providers/staff/suppliers/physicians/beneficiaries/referral agents as necessary. Develops and produces training and educational materials.

Responsibilities

• Develops/prepares/reviews/updates all provider education materials.
  • new highlights, calendar of events, job aids, resource tools, and web page content.
• Conducts/facilitates workshops, training class materials in support of teleconferences with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents.
• Supports relationships with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents, state/local medical/professional associations.
• Responds to educational needs.
• Performs administrative functions in support of education and training.
• Produces/generates various reports to management and provides feedback on activities to management.
• Contributes/participates/completes special projects as assigned.

Requirements

• Required Education: Bachelor's Degree equivalency: 4 years job related work experience or Associate's and 2 years job related work experience
• Required Work Experience: 2 years of experience in customer service, claims processing, communications, education/training, provider relations, healthcare, or a combination
• Preferred Education: Bachelor's degree-in Communications/Journalism, English, Education, Training, Healthcare Administration, or Nursing
• Preferred Work Experience: 2 years-of experience in claims processing, graphic design/publications, provider network, sales/marketing, insurance industry training

Qualifications

• Demonstrated skills related to training materials development.
• Demonstrated skills related to classroom presentations to large groups.
• Demonstrated proficiency in word processing and spreadsheet software.
• Good judgment skills.
• Effective customer service, organizational, and presentation skills.
• Demonstrated verbal and written communication skills.
• Analytical and critical thinking skills.
• Basic business math proficiency.
• Ability to persuade, negotiate, or influence others.
• Ability to handle confidential or sensitive information with discretion.
• Ability to identify learning objectives.
• Strong course design skills to include use of media/other instructional methods.
• Ability to evaluate progress in addition to actual delivery of training sessions.

Skills and Abilities

• Knowledge of claims processing, government healthcare programs.
• Ability to acquire working knowledge/understanding of specific programs.
• Ability to acquire working knowledge/understanding of Medicaid, Medicare.
• Ability to acquire working knowledge/understanding of HIPAA policies/procedures.

Software and Tools

• Microsoft Office.

Pay

Compensation is commensurate with experience.

Schedule

Full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM - 5:00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings.