Empleos de Provider Relations Employee en la empresa Regis Remote Office en San Pedro Sula, Cortés

La empresa Regis Remote Office está ofreciendo oportunidades de empleo para el puesto de Provider Relations Employee en la región de Cortés. El tipo de trabajo que ofrecemos es Jornada completa.

Los criterios que buscamos en los empleados son tener habilidades en Recursos humanos con experiencia en Intermedio, así como ser personas honestas, disciplinadas y responsables.

La estimación salarial ofrecida por esta empresa es bastante competitiva, alrededor de L 10,000 - L 19,000 (por Mes). Sin embargo, este salario puede variar dependiendo de la decisión de la empresa.

La empresa Regis Remote Office se dedica a la industria Publicaciones en línea, por lo que si estás interesado en solicitar un puesto en esta empresa, puedes registrarte directamente.

Informacion del trabajo

Descripción del trabajo

This position serves as an integral member of the Provider Relations and Contracting Team and reports to the Senior Manager of Community & Provider Development. This role assists and supports day-to-day contracting, network development and provider relations activities including managing key action items and relationships, special project initiatives, and deadlines.

Functions & Job Responsibilities

• Manage provider relationships in assigned territories or assign areas with all types of providers, including physicians, IPAs, hospitals, ancillary services, acupuncture and other Eastern Wellness providers and health care professionals.
• Provide information on Clever Care activities applicable to a particular office.
• Work with internal departments as well as providers to obtain required information to facilitate Clever Care activities, including annual wellness visits (AWV), special needs plan (SNP) attestations, audit follow-up, etc.
• Participate in Clever Care sales and marketing events, joint operating meetings (JOM) and other public facing activities.
• Identify potential contracting opportunities amongst all types of bilingual providers; work with the Senior Manager of Community & Provider Development on the actual contracting and negotiation process, including fee-for-service (FFS) and capitation reimbursement strategies.
• Identify new partnership opportunities with network providers.
• Discuss co-branding to offer a wider reach to focused populations.
• Develop provider affiliation announcement letters for member awareness.
• Coordinate and set up health fairs and other special events.
• Manage key provider relationships by being the main point of contact for providers and business staff.
• Maintain existing provider partnerships – acupuncture, primary care physicians, and other alternative networks.
• Contribute to the development and management of alternative network initiatives (e.g., herbal vendors).
• Support Sales and Marketing Teams on the needs of independent brokers, agencies, and field marketing organizations (FMOs).
• Establish relationships with community-based organizations such as Places of Worship, Community Health Centers, and Social Services.
• Maintain effective channels of communication with all internal departments, the most frequent being Operations, Credentialing, Compliance, Sales and Marketing, and Member Services.

Required Qualifications

Education/Experience:

• 1-2 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations

Skills:

• Demonstrated ability to manage multiple projects and meet deadlines.
• Strong communication and presentation skills with ability to effectively communicate with all levels of the organization, internally and externally.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Note: This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s). Duties described are not to be interpreted as being all-inclusive or specific to any individual team member.

No Third Party Agencies or Submissions Will Be Accepted.
Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP
Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.
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Beneficio

• ganar experiencia
• enseñar primero
• Obtener bonificación si se realizan horas extras