Provider Relations Representative

Requisition ID
2022-233398
Department
Member Services
Hours / Pay Period
80
Shift
Day
Standard Hours
Mon - Fri 8 am - 5pm
Facility / Process Level : Name
Dignity Health Management Services
Location
CA-Bakersfield

Overview

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

Responsibilities

The Provider Relations Representative is responsible for establishing and maintaining positive relationships with various clients building strong, cohesive business partnerships. Works with internal staff, client representatives, and other contracted entities to deliver contractual performance standards and ensure customer service objectives are continually met.

 

***This position will be remote/work from home in the Visalia, CA or Tulare, CA region. 

Qualifications

Minimum

  • 5 or more years' experience working in a similar position in the healthcare industry; or an equivalent combination of training and experience that provide the capabilities needed to perform the job duties

  • Experience in marketing, sales or customer service in a health care setting required

  • Strong business acumen, customer service skills, follow-up, organizational and project management skills to ensure objectives and deadlines are consistently met

  • Familiarity with third party administrator operations such as eligibility, prior authorization, claims administration and provider network administration

  • Familiarity with managed care and self-insurance products and benefits

Preferred

  • Experience working as an account manager in a direct to employer health plan preferred

***This position will be remote/work from home in the Visalia, CA or Tulare, CA region. 

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